本文报告慢性痛风肾病(CGN)26例,其诊断标准为①原发性痛风的存在,②有下列情形之一者:持续性蛋白尿,异常的尿沉渣,肾功能不全或有排石史者;③除外其他肾脏病。所有病例均有高尿酸血症,12例有痛风性关节炎,16例有痛风结节,4例痛风结节和3例关节炎病理证实有双折光尿酸结晶,3例X线关节面显示有典型的穿凿样破坏。 CGN临床表现多样化,易误诊和漏诊。为提高对本病识别能力,及早诊断,作者根据临 This article reports 26 cases of chronic gouty nephropathy (CGN), the diagnostic criteria for the presence of primary gout, ② one of the following conditions: persistent proteinuria, abnormal urine sediment, renal insufficiency or history of row of stone ; ③ except for other kidney disease. All cases had hyperuricemia, gouty arthritis in 12 cases, gouty nodules in 16 cases, bile duct uric acid crystals in 4 cases of gouty nodules and 3 cases of arthritis. Three cases of X-ray showed Typical wear through the cut damage. CGN diversified clinical manifestations, misdiagnosis and missed diagnosis. In order to improve the ability to identify the disease, early diagnosis, the author according to Pro