重视多发性骨髓瘤引起的急性肾功能衰竭(附16例临床分析)  

Attach importance to the acute renal failure caused by multiple myelome

作　　者：陈一川[1] 郑文博[1] 计蕾[1] 彭献代[1] 

机构地区：[1]重庆市第三人民医院血液净化中心,重庆400014

出　　处：《重庆医科大学学报》2008年第1期125-126,共2页Journal of Chongqing Medical University

摘　　要：目的:探讨多发性骨髓瘤(以下简称MM)引起急性肾功能衰竭(以下简称ARF)的临床特点。方法:回顾10年来我中心收治16例MM以ARF为始发临床表现的诊治过程及转归,并进行临床分析。结果:ARF可作为MM在临床中的始发表现,尿本-周氏蛋白、蛋白电泳、骨X线测定等在起病初期阳性率并不高,骨髓病理检查才是最直接的早期诊断MM的确诊方法。结论:在临床中,病因不明的ARF应首先考虑MM为原发病的可能,应尽早行骨髓病理检查以确诊,为患者争取宝贵的治疗时机,以达到完全或部分缓解。Objective：Probing the clinical characteristic, ARF caused by MM. Method：Reviewing the diagnostic process and evolution of 16 MM patients in recent 10 years,which reflected as ARF at first and be diagnosed as MM at last. Resu/t：ARF could be the prime symptom. Bence-Jones proteinuria,protein electrophoresis,X-ray to the bone have low positive finding in MM diagnose,pathological examination is directly diagnostic method. Conclusion：Diagnosing ARF patients,whose cause of disease is unclear,we should think of MM,and pathological examination is necessary,so we could cure these patients better.

关 键 词：急性肾功能衰竭 多发性骨髓瘤 

分 类 号：R733.3[医药卫生—肿瘤] R962.5[医药卫生—临床医学]