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例1:男,57岁。持续发热月余,不规则发热2年。体检:体温38.6℃,贫血貌,心肺(-),骨科检查无特殊。白细胞1700,血红蛋白5g,血小板8万,尿蛋白t++),血沉65mm/h;总蛋白和白球蛋白比例正常;血浆蛋白电泳:M蛋白占37/dl,免疫球蛋白IgG大于10000mg/dl,IgA440mg/dl,IgMmg/dl,尿本周蛋白阳性;胸片骨质正常;骨髓象:浆细胞占有核细胞3.5％,并有形态异常。例2:男,68岁。胸痛3月伴发热咳嗽20余天。2年前出现腰痛,近半年加重,慢性病容,贫血貌,胸廓不对称,右侧略隆起,气管左偏,右侧第五、六肋骨有压痛及明显骨折,心率120次,血红蛋白8g;血沉144mm/h;总蛋白7.5g/dl,白蛋白3.5/dl,球蛋白4.3g/dl;免疫球蛋白IgG650mg/dl,IgA1500mg/dl,血浆蛋白电泳:r48％;尿
Example 1: Male, 57 years old. Continuous fever more than a month, irregular fever 2 years. Physical examination: body temperature 38.6 ℃, anemia appearance, cardiopulmonary (-), orthopedic examination no special. White blood cells 1700, hemoglobin 5g, platelets 80,000, urinary protein t ++), erythrocyte sedimentation rate 65mm / h; normal protein and white globulin ratio; plasma protein electrophoresis: M protein accounted for 37 / dl, IgG IgG greater than 10000mg / dl, IgA440mg / dl, IgMmg / dl, urinary protein positive week; chest bone normal; bone marrow: plasma cells occupy 3.5% of the nuclear cells, and morphological abnormalities. Example 2: Male, 68 years old. Chest pain March fever cough for more than 20 days. 2 years ago, low back pain, nearly six months aggravating, chronic disease, anemia appearance, thorax asymmetry, the right slightly uplift, trachea left deviation, the right fifth, six ribs have tenderness and significant fractures, heart rate 120 times, hemoglobin 8g; ESR 144mm / h; Total protein 7.5g / dl, Albumin 3.5 / dl, Globulin 4.3g / dl; Immunoglobulin IgG650mg / dl, IgA 1500mg / dl, Plasma protein electrophoresis: r48%