骨髓瘤常合并肾损害,但某些患者以肾损害为起病时的突出表现,而骨髓瘤本身的表现极不明显或缺如。这种肾受累统治骨髓瘤病像的类型,常可误诊为慢性肾炎,本文报告的两例亦反复误诊为慢性肾炎。为了引起临床医师的注意,减少误诊,我们试把这种临床类型叫做肾型骨髓瘤,现报告两例。 Myeloma often associated with renal damage, but some patients with kidney damage as a prominent manifestation of the onset, while the performance of myeloma is extremely obvious or absent. This type of kidney involvement myeloma disease often misdiagnosed as chronic nephritis, the two cases reported in this paper are also repeatedly misdiagnosed as chronic nephritis. In order to attract the attention of clinicians to reduce misdiagnosis, we try to call this type of clinical kidney nephropathy, are reported in two cases.