摘要
多发性骨髓瘤（ＭＭ）极易并发感染，伴感染后诊断越发困难。对照分析了作者等五年中收住的７例伴感染的ＭＭ和同期随机抽样作为对照的７例慢性支气管炎、肺气肿住院病例。发现：首诊医师遇中、老年人患感染特别是肺部慢性感染性疾病就医时，如伴原因不明的贫血和骨痛，应警觉ＭＭ之可能。宜检查血、尿常规，血沉，尿本－周氏蛋白，中轴骨拍片等进行ＭＭ多相筛选，并进行血、尿蛋白分析和骨穿等，以求及早确诊，改善预后。
Multiple myeloma(MM)is cormplicated by infection easily. Diagnosis of MM with infection isquite difficult. 7 cases of MM withinfection inpatients were reportedand compared with 7 cases of chronicbronchitis/pneumonectasis admittedduring the same period thru randomsampling.The authors consideredthat, while encountering middleaged & aged patients with chronicpulmonary infection and anemia &bone-pain.cause not yet affirmed,attention should be paid to MM aswell, It is wise to carry out blood,urinary routine, ESR,Bence-Jones’protein reaction(urine),&X-rayfilm examination in order to multi-phase screening MM, as well asanalysis of blood & urine proteinand bone-biopsy,to reach a correctearly diagnosis and a better progno-sis.
出处
《宁夏医学杂志》
CAS
1994年第6期357-360,共4页
Ningxia Medical Journal
