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痛风病不是一种少见的疾病,其发病率有逐年增加的趋势,但漏诊误诊仍较普通,尚未引起足够重视。本文在这方面作一些分析。一般资料本组病例为1981年至1990年部份住院病人。根据美国风湿协会1977年诊断标准确诊为痛风病共42例,男39例,女3例。年龄29～78岁。多以关节痛为首发症状或不典型关节痛,第一跖趾关节肿痛22例,其余有单关节痛、痛风结节,半数有不同程度功能损害;肌酐清除率、血肌酐血尿素氮均有异常表现,并发症有高血压、冠心病、高脂血症肾结石等。血尿酸增高者37例,平均增高为512μmol/L。13例尿尿酸增高,X光关节片显穿凿样缺损改变
Gout disease is not a rare disease, its incidence has increased year by year trend, but missed misdiagnosis is still more common, has not attracted enough attention. This article makes some analysis in this respect. General information The group of patients from 1981 to 1990 inpatients. According to the American College of Rheumatology 1977 diagnostic criteria for gout were 42 cases, 39 males and 3 females. Age 29 to 78 years old. More to joint pain as the first symptom or atypical joint pain, the first metatarsophalangeal joint swelling and pain in 22 cases, the rest with single joint pain, gout nodules, half have varying degrees of functional impairment; creatinine clearance rate, serum creatinine, blood urea nitrogen There are abnormalities, complications are high blood pressure, coronary heart disease, hyperlipidemia and other kidney stones. Serum uric acid increased in 37 cases, an average increase of 512μmol / L. Thirteen cases of increased uric acid, X-ray joint chisel defect was significantly changed