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患者,男,60岁,血型“O”。主因腰痛2个月,20天前不慎摔倒,腰痛加重,活动受限。查体:被动体位,轻度贫血貌,全身皮肤无黄染,未见出血点,周身淋巴结不肿大,腰骶部有压痛。检查:X线拍片:L_2L_5有压缩性骨折,骨质疏松。骨髓象:骨质增生活跃。原幼浆占45%,核仁清晰,多为1个。其他系统相对减少。胞体大小不等。浆呈蓝紫色。提示多发性骨髓瘤。治疗前检查免疫八项IgA显著增高。临床诊断:多发性骨髓瘤。治疗:
Patient, male, 60 years old, blood group “O”. Mainly because of back pain 2 months, 20 days ago accidentally fell, lower back pain aggravate, limited activities. Physical examination: passive body position, mild anemia appearance, body skin without yellow dye, no bleeding point, the whole body lymph nodes is not swollen, lumbosacral tenderness. Check: X-ray film: L_2L_5 compression fractures, osteoporosis. Bone marrow: active bone hyperplasia. The original jujube 45%, clear nucleolus, mostly 1. Other systems are relatively reduced. Cell body sizes. Pulp was blue-purple. Tip multiple myeloma. Eight pre-treatment immunization IgA was significantly higher. Clinical diagnosis: Multiple myeloma. treatment: