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我们从1991年～1996年收治多发性骨髓瘤34例,误诊27例,误诊率达79.4%。1 所误诊疾病1.1 以骨痛误诊11例。其中类风湿性关节炎4例,一例为15岁女学生,上呼吸道感染后出现游走性关节、脊柱疼痛;腰椎间盘突出征2例;腰肌劳损2例;腰椎结核2例;骨质疏松症1例。1.2 伴贫血误诊者6例。其中缺铁性贫血3例,再障2例,巨幼贫1例。
From 1991 to 1996, we treated 34 patients with multiple myeloma and misdiagnosed 27 patients. The misdiagnosis rate was 79.4%. 1 Misdiagnosis of disease 1.1 Misdiagnosis of 11 cases with bone pain. Among them, there were 4 cases of rheumatoid arthritis, 1 case of 15-year-old female student. There were migratory joints and spinal pain after upper respiratory tract infection; lumbar disc herniation in 2 cases; lumbar muscle strain in 2 cases; lumbar tuberculosis in 2 cases; osteoporosis 1 case. 1.2 Misdiagnosis with anemia in 6 cases. There were 3 cases of iron deficiency anemia, 2 cases of aplastic anemia, and 1 case of megapennia.