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本文收集1978年6月至1984年4月住我院诊断明确、材料完整的原发性尿酸性肾病(痛风肾)17例,现着重分析误诊问题: 临床资料诊断标准:①血尿酸男性高于7mg％,女性高于6mg％,伴有肾功能不全,尿常规有变化,有关节炎、关节畸形、痛风结节或尿路结石;②血尿酸虽无明显增高,但病理活检证实并伴有尿酸性肾病的临床变化者;③排除了继发性高尿酸血症如血液病、恶性肿瘤化疗或放疗后,原发性肾小球疾病等.本组男16例,女1例.年龄45～
This article collected from June 1978 to April 1984 living in our hospital diagnosed with complete material, primary uric acid nephropathy (gouty kidney) in 17 cases, the re-analysis of misdiagnosis problems: clinical data diagnostic criteria: ① serum uric acid higher than men 7mg%, females higher than 6mg%, accompanied by renal insufficiency, changes in urinary routine, with arthritis, joint deformities, gout nodules or urinary tract stones; ② serum uric acid although no significant increase, but biopsy confirmed with Uric acid nephropathy clinical changes; ③ rule out secondary hyperuricemia such as hematopathy, malignant tumor after chemotherapy or radiotherapy, primary glomerular disease, etc .. The group of 16 males and 1 female.Age 45 ~