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患者常某,男性,37岁,病案号104087。因进行性腰痛4个月,伴双下肢瘫痪入院。查体:全身情况极度衰竭,胸12平而以下感觉运动障碍,双下肢肌肉萎缩,肌力为“O”级,正常生理反射完全消失。实验室中检查:血色素10g/dl,血沉17mm/h,碱性磷酸酶13.9u%,血电解质检查均在正常范围。尿本周氏蛋白阳性,血白球蛋白无倒置。X 线检查显示胸10椎体破坏,头颅、骨盆、股骨、肋骨均呈轧洞样破坏。于1990年12月24日行骨组织活检术。病理诊断:多发性骨髓瘤。
Patients often, male, 37 years old, the case number 104087. Due to progressive low back pain for 4 months, with paralysis of both lower limbs admitted. Examination: extreme failure of the general condition, the chest below the 12 level and the following sensory dyskinesia, both lower extremity muscle atrophy, muscle strength “O” level, the normal physiological reflex completely disappeared. Laboratory tests: hemoglobin 10g / dl, erythrocyte sedimentation rate 17mm / h, alkaline phosphatase 13.9u%, blood electrolyte test are in the normal range. Urine this week’s protein positive, white blood globulin without inversion. X-ray examination showed the destruction of the thoracic vertebral 10, head, pelvis, femur, ribs were cave-like destruction. December 24, 1990 bone biopsy. Pathological diagnosis: multiple myeloma.