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多发性骨髓瘤(MM)起病隐袭,临床上以骨痛、贫血、肾功能损害、免疫球蛋白异常等为其特征.当机体各组织器官受到侵犯时,临床表现复杂,易于误诊。我院于1977至1987年共收治21例,其中12例表现特殊,现结合文献报道如下: 一、浆细胞性白血病例1:男,26岁。3年前因皮肤化脓性感染,住院检查诊断为MM,经COP方案治疗缓解,以N-甲酰溶肉瘤素维持治疗。此次因发热,腹泻再次入院。体检:心率130次,心音低,右肺有湿性罗音,肝脾未满
Multiple myeloma (MM) insidious onset, clinically to bone pain, anemia, renal dysfunction, immunoglobulin abnormalities as its characteristics when the body tissues and organs were violated, the clinical manifestations of complex, easy to misdiagnosis. In our hospital from 1977 to 1987, a total of 21 cases were treated, of which 12 cases of special performance, are combined with the literature as follows: First, plasma cell leukemia cases 1: male, 26 years old. 3 years ago due to purulent skin infection, hospital examination diagnosed as MM, relieved by the COP regimen to maintain maintenance treatment with N-formyl lysomatin. The fever, diarrhea again hospitalized. Physical examination: heart rate 130 times, low heart sound, right lung wet rales, liver and spleen is not full