过去认为痛凤性关节炎在国内少见,其原因可能与医务人员对本症认识不足有关。兹将作者30余年来直接诊治的42例体会作一报道。临床资料本组男41例,女1例。年龄21～67岁,平均46.1岁,其中女性1例为34岁。发病时间1～32年,平均10年,其中女性1例为3年。本组患者发作时均为单关节性,但有3例以后发展为多关节同时发作,并同时伴有体温增高。发生单处或多处痛风石15例(33.7%),其中耳缘处7例,(足母)趾5例、足背及手指各3例,肘、踝及背部各1例,足跟2例,巨大者均作外科手术摘除。全组19例男性患者有家族史(45.2%)。体型肥胖者23例。实验室检查血尿酸高于35.9μmol/L(6mg/dl)36例,最高达587.1 μmol/L(9.87mg/dl)。本组尿酸正常值 In the past that the pain phlebitis arthritis rare in China, the reason may be related to inadequate knowledge of medical personnel about the disease. The author of more than 30 years of direct diagnosis and treatment of 42 cases of experience to make a report. Clinical data The group of 41 males and 1 female. Aged 21 to 67 years old, with an average of 46.1 years, of which 1 female was 34 years old. The onset time of 1 to 32 years, an average of 10 years, of which 1 case of women for 3 years. This group of patients were single-joint attack, but in 3 cases later developed multi-joint seizures, accompanied by increased body temperature. There were 15 cases (33.7%) with single or multiple tophi, including 7 cases of the ear margin, 5 cases of the foot (toe), 3 cases of the dorsal foot and fingers, 1 case of the elbow, ankle and back, For example, the great were removed for surgery. The whole group of 19 male patients had a family history (45.2%). 23 cases of obesity. Laboratory tests of uric acid higher than 35.9μmol / L (6mg / dl) 36 cases, up to 587.1μmol / L (9.87mg / dl). This group of normal uric acid