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多发性骨髓瘤由于临床表现复杂或常以并发症为其突出表现,易造成误诊。中国医科大学50例住院患者中,初诊时误诊为其它疾病27例,占54%。我院1957～83年共收治多发性骨髓瘤25例,初诊时误诊16例,误诊率达64%。误诊病种计有再障2例,各种骨关节病4例,慢性肾炎2例,各种感染4例,肿瘤3例,甲状旁腺机能亢进症1例。现将较特殊病例讨论如下。
Multiple myeloma due to the clinical manifestations of complications or often its outstanding performance, easily lead to misdiagnosis. China Medical University, 50 cases of hospitalized patients, misdiagnosed as 27 cases of other diseases, accounting for 54%. Twenty-five cases of multiple myeloma were treated in our hospital from 1957 to 1983, and 16 cases were misdiagnosed at the time of first visit. The misdiagnosis rate was 64%. There were 2 cases of aplastic anemia, 4 cases of various bone and joint diseases, 2 cases of chronic nephritis, 4 cases of various infections, 3 cases of tumor and 1 case of hyperparathyroidism. Now more special cases are discussed below.