摘要
多发性骨髓瘤(myltiple myeloma,MM)是一种老年病,治疗原则以化疗为主。然而化学治疗相关的不良反应与希恩综合征的临床表现相似,对于无明确产后出血史的老年患者,往往容易造成误诊、漏诊。因此,老年多产的女性,在化疗期间出现顽固性低钠血症及消化道反应时,应考虑希恩综合征的可能,早期明确诊断,及时给予个体化治疗。
Multiple myeloma is common in the older population and is treated mainly with chemotherapy. However, chemotherapy-related side effects imitate the clinical manifestations of Sheehan＇s syndrome, which leads to misdiagnosis and missed diagnosis, particularly for older patients without a clear history of postpartum hemorrhage. Therefore, when older women with malignant myelomas show refractory hyponatremia and gastrointestinal disorders while under chemotherapy, a diagnosis of Sheehan＇s syndrome should be considered. The early detection of the disorder will guarantee timely individualized treatment.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2013年第18期1130-1133,共4页
Chinese Journal of Clinical Oncology
关键词
多发性骨髓瘤
希恩综合征个体化治疗
多学科协作
multiple myeloma, Sheehan＇s syndrome, individualized treatment, multidisciplinary team
