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随着诊疗水平的提高,多发性骨髓瘤在临床上已较为常见。但由于其临床表现多样化,误诊、漏诊仍然不少。许多患者虽经骨髓穿刺而获确诊,但其诊断过程却颇为曲折复杂。现将我们经骨髓穿刺检查确诊,临床资料较为完整的16例予以分析,以进一步提高对该病的认识。资料来源与结果一、一般资料:16例中男8例,女8例。年龄47～66岁。出现症状后首次就诊至确诊时间为2月～2年,其中3个月内诊断3例,3～6个月诊断9例,7个月～1年2例,1年以上诊断2例。大部分是3个月后方获诊断。二、首发症及最初诊断(见下表):
With the improvement of diagnosis and treatment, multiple myeloma has become more common in clinic. However, due to its diversified clinical manifestations, misdiagnosis and missed diagnosis are still a lot. Although many patients have been diagnosed with bone marrow aspirates, the diagnosis is rather tortuous. Now we are diagnosed by bone marrow biopsy, the clinical data is more complete analysis of 16 cases to further enhance the understanding of the disease. Data sources and results First, the general information: 16 cases of 8 males and 8 females. Age 47 ~ 66 years old. After the onset of symptoms, the time from first visit to diagnosis was 2 months to 2 years, of which 3 were diagnosed in 3 months, 9 in 3 to 6 months, 2 in 7 months to 1 year and 2 in 1 year. Most are diagnosed after 3 months. Second, the first episode and the initial diagnosis (see table below):