摘要
Abstract
Objective To investigate the clinical characteristics of multiple myeloma( MM),causes of misdiagnosis and preventive measures. Methods MM misdiagnosis database from 2004 to 2013 was retrospectively analyzed. Results A total of 231 literatures including misdiagnosis 3230 cases with MM were included,involving in the misdiagnosis rate of 70 liter-atures,and 1929 cases were misdiagnosed. The misdiagnosis rate was 55. 13﹪. Misdiagnosed diseases reached 131 kinds, related to 16 systems or specialists;majority of them was related to exercise system and urinary system. The top 3 diseases were misdiagnosed as nephritis,renal insufficiency and osteoporosis. The lack of experience and awareness of MM,not choo-sing specific laboratory examinations and mistakes of diagnostic thoughts were the main causes of misdiagnosis. The misdiagno-sis was lead to persistent disease or adverse consequences. Conclusion Due to systemic and nonspecific clinical manifesta-tions,the Misdiagnosis of MM is very easy;familiar with its clinical and laboratory features,grasping its diagnostic criteria, and application of the correct clinical thinking can improve the accuracy of the diagnosis of this disease.关键词
多发性骨髓瘤/误诊/肾炎/数据库/数据说明,统计Key words
Multiple myeloma/Misdiagnosis/Nephritis/Database/Data interpretation,statistical分类
医药卫生
