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目的观察治疗以腹腔积液为首发症状的多发性骨髓瘤的临床及实验室特征。方法临床诊断1例患者,给予治疗并文献复习。结果患者腹腔积液中找到瘤细胞,腹腔积液中存在M蛋白。结论以腹腔积液为首发症状的多发性骨髓瘤发生率极低,预后差,生存时间短,VAB方案对该病仍有效,加强支持治疗有望改善疾病预后。
Objective To observe the clinical and laboratory characteristics of multiple myeloma treated with ascites as the first symptom. Methods One patient was clinically diagnosed and treated and reviewed. Results The patient found tumor cells in the ascitic fluid and M protein in the ascitic fluid. Conclusions The incidence of multiple myeloma with ascites as the first symptom is extremely low, the prognosis is poor, and the survival time is short. The VAB regimen is still effective for this disease. Strengthening the supportive treatment is expected to improve the prognosis of the disease.