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我院内科1971年至1987年共收治47例原发性痛风患者,其中45例在入院前被误诊,现将其误诊情况及有关问题结合文献讨论如下。 一般资料 本组男43例(占95.6％),女2例。年龄30～75岁,其中以41～60岁最多,占57.8％。在起病和病程中有(足母)趾及第一跖趾关节红、肿、热、痛者占100％,其中91％为首发症状。有痛风石者24例,占53.3％。肾功能不同程度损害者占80％,这与国内文献报道相似。全部病例均进行了血尿酸检查,
A total of 47 patients with primary gout were admitted to our hospital from 1971 to 1987, of which 45 were misdiagnosed before admission. Their misdiagnosis and related problems are discussed in the following documents. General information The group of male 43 cases (95.6%), 2 females. Age 30 to 75 years, of which 41 to 60 years of age, accounting for 57.8%. In the onset and duration of (foot mother) toe and the first metatarsophalangeal joint red, swollen, hot, pain accounted for 100%, of which 91% of the first symptom. There are 24 cases of tophi, accounting for 53.3%. Different degrees of renal damage accounted for 80%, which is similar to the domestic literature. All cases were carried out blood uric acid test,