tsim.org.tw
Taiwan Society of Internal MedicineIPhone user please click here.
http://tsim.org.tw/
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衛生福利部胸腔病院 >> 網站導覽
http://tb.ccd.gov.tw/main.php?index=sitmap
這個頁面上的內容需要較新版本的 Adobe Flash Player。 電話: 院本部/06-2705911(總機) 門診部/06-2146006(總機) 傳真: 院本部/06-2703400.
一分鐘看多發性骨髓瘤 | 台灣多發性骨髓瘤研究室
http://www.tmmrr.com/about.asp?in=234
病患常因以下症狀就診 骨頭酸痛或有病理性骨折 pathologic fracture. 脊椎壓迫症狀，貧血導致的頭昏疲倦或全身無力，尿毒症症狀，高血鈣症狀 如噁心、嘔吐、便秘或神智遲鈍 或hyperviscosity症狀 視力模糊、頭痛、失明、嗜睡。 多發性骨髓瘤 multiple myeloma 為漿細胞 plasma cell 增生的惡性疾病，絕大多數會分泌單株免疫球蛋白或lightchain，即所謂的M-蛋白 M-protein。 根據Durie and Salmen的診斷要件，符合以下major criteria中任兩項，或者. 者2a 2b 2d，或者2c是diffuse lesions，加上骨髓中plasma cells 30%，即可診斷為multiple myeloma。 A)骨髓中plasma cells或myeloma cells 30%。 C)M-protein: IgG 35 g/L, IgA 20 g/L, light chain 1 g/24hr (urine)。 A) 骨髓中plasma cells或myeloma cells 10 30%。 早期的脊椎壓迫若及時給予類固醇 ...
多發性骨髓瘤研究之五 | 台灣多發性骨髓瘤研究室
http://www.tmmrr.com/news_info.asp?id=253
歡迎加入台灣多發性骨髓瘤研究之五 臺大醫院血液科 黃聖懿醫師 2012/8/6.
背痛、貧血、腎衰竭 認識多發性骨髓瘤 | 台灣多發性骨髓瘤研究室
http://www.tmmrr.com/about.asp?in=237
臨床上的特徵就如前述病例老張一樣，包括惡性漿細胞在骨髓內增殖，造成正常造血機能的下降，尤其是會出現貧血 這些骨髓瘤細胞會活化蝕骨細胞來吃掉骨頭，產生蝕骨樣病變，造成骨頭疼痛甚至病理性骨折 脊柱旁漿細胞腫瘤壓迫到脊髓，造成癱瘓 血液或尿液中可以驗出骨髓瘤所分泌的單株免疫球蛋白，而這些蛋白會破壞腎小管，造成慢性腎臟病變。
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TSIM
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tsima (Alice R.) - DeviantArt
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