多发性骨髓瘤48例误诊分析

48例多发性骨髓瘤入院时误诊为骨骼。肾脏、肝脏.造血和神经系统等疾病,而本身被漏诊,漏、误诊率66.7%。临床分析表明,40岁以上病人如有:进行性骨痛;原因不明的贫血或红细胞缗钱现象;血沉明显增快或高球蛋白血症;反复感染,持续性蛋白尿或不伴高血压的肾衰;扁平骨肿块;脊髓压迫或神经根受损等情况时,应疑及本病,需进一步检查明确诊断。

ANALYSIS OF MISDIAGNOSIS OF 48 CASES OF MULTIPLE MYELOMA

48 patients with multiple myeloma (MM) had been misdiagnosed as disorders of bone, the kedney, the liver and the hemapoietic or the nervous system. The misdiagnosis rate was 66.7%. An analysis suggests that MM should be suspected if a patient who is over 40 years of age has any of the following conditions: progressive bone pain, unexplained anemia, rouleaux-formation, a great increase in ESR, hyperglobulinemia of unknown cause, repeated infection, persistent proteinuria, renal failure with no hypertension, skeletal tumor of flat bones, spinal cord compression, radiculopathy, etc. further studies must then be done to deride whether the patient is suffered from MM or not.