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多发性骨髓瘤1557例误诊资料分析
引用本文:吕鸿雁,张金巧.多发性骨髓瘤1557例误诊资料分析[J].河北医药,2009,31(9):1052-1054.
作者姓名:吕鸿雁  张金巧
作者单位:河北医科大学第三医院血液科,石家庄市,050051
摘    要:目的通过分析1557例多发性骨髓瘤(MM)误诊资料,总结MM误诊原因、误诊疾病种类及减少误诊的措施。方法查阅2000至2008年有关MM误诊分析的文献164篇,筛选出资料完整,统计比较确切的49篇进行分析。结果初诊MM2389例,其中误诊患者1557例,误诊率为65.17%。主要误诊为6大类疾病,包括骨关节疾病(39.82%),其中误诊为骨质疏松最多,其次为椎间盘突出、骨折、腰肌劳损、骨质增生;肾脏疾病(15.67%),主要为慢性肾炎,其次为慢性肾功能不全;血液病(9.38%);各类感染(7.58%);心脏疾病(3.60%);慢性肝病(1.86%)。MM误诊客观原因为临床表现多样,首发症状千差万别,且骨髓瘤细胞往往分布不均,有些患者需经过反复多次、多部位骨穿才能明确诊断;主观原因为临床医师对其认识不够,接诊医生问诊、体格检查不够详细,对实验室检查结果不能正确分析。MM往往引起多器官系统损害,很多医生将其并发症作为早期的诊断。结论加强对MM的全面认识,详细的询问病史,认真细致的体格检查,进行全面的实验室及影像学检查是防止误诊的关键。

关 键 词:多发性骨髓瘤  诊断  误诊分析

The analysis of misdiagnosis data in 1 557 patients with multiple myeloma
LV Hongyan,ZHANG Jinqiao.The analysis of misdiagnosis data in 1 557 patients with multiple myeloma[J].Hebei Medical Journal,2009,31(9):1052-1054.
Authors:LV Hongyan  ZHANG Jinqiao
Institution:LV Hongyan,ZHANG Jinqiao. Department of Hematology,The Third Hospital of Hebei Medical University,Shijiazhuang 050051,China
Abstract:ObjectiveTo summarize misdiagnosis cause of multiple myeloma(MM) and the types of misdiagnosis diseases by analyzing the misdiagnosis data in 1 557 patients with multiple myeloma in order to find the measures to reduce misdiagnosis. Methods164 pieces of literatures about misdiagnosis data in 1 557 patients with MM from 2000 to 2008 were reviewed in which 49 pieces of literatures with complete data were selected and were precisely analyzed. ResultsAmong 2 389 cases of preliminary diagnosis MM,the ration of m...
Keywords:multiple myeloma  diagnosis  misdiagnosis analysis  
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