[北京友谊医院王拥军]以消化道出血为首要表现的多发性骨髓瘤临床分析

全文：目地：深入探讨以胃肠道病变领衔要整体表现的关节炎冠心病的医学特征。方式以胃肠道病变领衔要整体表现的关节炎冠心病病人为科学研究第一类，预测其医学整体表现、生物医学检查和、宫腔镜检查和的特征。结论6初沿明胃肠道病变领衔要整体表现的关节炎冠心病病人，男性5例，男性1例，年纪33~70岁。胃肠道病变整体表现为痔疮1例，痰喘便2例，黑便3例，当中2例伴干承基。宫腔镜下整体表现胃病2例，胃微血管收缩1例，结肠溃疡2例，小肠溃疡1例。推论关节炎冠心病医学整体表现多样化，以胃肠道病变领衔要整体表现的关节炎冠心病在医学上罕见。对伴以免疫球蛋白增高、糖尿病、腹水等多控制系统受惠的病人应特别注意健全冠心病各方面的检查和，及时处理确诊化疗。

Objective To explore the clinical features of multiple myeloma with hemorrhage of digestive tract as initial manifestations. Methods 6 patients of multiple myeloma with hemorrhage of digestive tract as initial manifestations were analyzed,including its clinical manifes-tations,laboratory tests,endoscopic characteristics. Results 6 patients of multiple myeloma with hemorrhage of digestive tract as initial manifes-tations ,including 5 men and 1 women,aged from 33 to 70 years old. Digestive tract hemorrhage showed hematochezia in 1 cases,pus and blood stool in 2 cases,melena in 3 cases( including 2 cases with hematemesis). Endoscopic manifestations showed gastric ulcer in 2 cases,gastric dila-tion in 1 case,colonic ulcer in 2 cases,small intestinal ulcer in 1 case. Conclusion The clinical features of multiple myeloma are varied. MM with hemorrhage of digestive tract as initial manifestations is rare in clinical work. The patients with the increased immune globulin,anemia,pro-teinuria and other systemic involvement should be payed attention,in order to improve the diagnosis and treatment of myeloma,make correct diag-nosis timely and guild the treatment.