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本文对伴有肾功能不全的50例高尿酸血症(其中10例确诊为原发性尿酸肾病)进行临床分析,讨论了尿酸肾病误诊原因,临床特点和高原尿酸肾病的临床意义及防治。诊断标准:(按美国风湿病协会的拟诊条件)1.治疗前全部病例均有高尿酸血症,(男<5mg％、女>4mg％)。2.尿有异常(蛋白尿或血尿)及肾功能改更,其中大部分病例伴关节炎,关节畸形,痛结节或尿路结石。3.排除了继发性高屎酸血症,如原发性肾小球疾
In this paper, 50 cases of hyperuricemia accompanied with renal insufficiency (10 cases diagnosed as primary uric acid nephropathy) were analyzed. The causes of misdiagnosis, clinical features and the clinical significance and prevention and treatment of uric acid nephropathy were discussed. Diagnostic criteria: (according to the American Rheumatism Association of the proposed conditions) 1. Before treatment, all cases have hyperuricemia, (male <5mg%, female> 4mg%). 2. Abnormal urine (proteinuria or hematuria) and renal function changes, most of the cases with arthritis, joint deformity, pain nodules or urinary tract stones. 3. Exclusion of secondary high feces acidosis, such as primary glomerular disease