摘要
目的分析老年多发性骨髓瘤的临床特点及误诊情况,提高对其的认识以便早期诊断。方法分析总结43例老年多发性骨髓瘤患者的临床症状和实验室指标及其中12例患者误诊情况。结果88.4%患者以骨关节痛为首发症状,27.9%患者以贫血为首发症状,90.7%患者有不同程度的贫血,53.5%患者肾功能异常,76.7%患者血清蛋白电泳见M蛋白峰,93.1%患者有X线改变。结论老年多发性骨髓瘤患者多以骨关节痛和贫血为首发症状,临床上应注意全面检查,避免误诊。
[Objective] To summarize the characteristics and misdiagnosis of multiple myeloma in elderly patients. [Methods] Clinical manifestation and laboratory index of 43 elderly patients with multiple myeloma, as well as the misdiagnosis in 12 eases out of them were analyzed. [Results] 88.4% and 27.9% patients presented ostalgia and anemia as the first manifestations, respectively. 90.7% patients had anemia, 53.5% patients had renal insufficieney, 76.7% patients had M protein, and 93.1% patients had X-ray changes. [Conclusion] Most elderly patients with multiple myeloma presented ostalgia and anemia as the first manifestations. We should avoid misdiagnosis.
出处
《中国医学工程》
2007年第4期367-368,371,共3页
China Medical Engineering
关键词
多发性骨髓瘤
老年
特点
误诊
multiple myeloma
elderly patients
characteristics
misdiagnosis
