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目的:探讨多发性骨髓瘤(MM)肾损害的误诊情况。方法:对60例多发性骨髓瘤肾损害患者的临床资料进行回顾性分析。结果:多发性骨髓瘤首发症状缺乏特异性,误诊率高。结论:对于不明原因的贫血、骨痛、蛋白尿、肾衰和骨折,应及时进行本-周蛋白、免疫球蛋白及免疫电泳测定,多部位的骨髓穿刺、活检和骨X线摄片避免误诊漏诊。
Objective: To investigate the misdiagnosis of multiple myeloma (MM) renal damage. Methods: The clinical data of 60 patients with multiple myeloma and renal damage were analyzed retrospectively. Results: The initial symptoms of multiple myeloma lack of specificity, misdiagnosis rate. CONCLUSIONS: Benign-week protein, immunoglobulin, and immunoelectrophoresis assays should be performed in time for unknown causes of anemia, bone pain, proteinuria, renal failure, and fractures. Multi-site bone marrow biopsy, biopsy and bone radiography should be used to avoid misdiagnosis Misdiagnosis.