贵州医科大学学报

1984, (03) 26-29

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

老年痛风14例临床分析
The clinical analysis of 14 eases of the aged gout


Cardre health department

摘要(Abstract):

<正> 痛风是由于嘌呤代谢紊乱所致的慢性疾病,本病在欧美等国是多发病,而过去认为我国发病较少,但近年来由于生活,医疗条件的改善,平均寿命延长,以及引起对本病的注意等因素、临床发现已日渐增多。我科自1982年2月至1984年1月,二年期间共收治18例痛夙患者,其中60岁以上老年痛风14例,现将其资料初步分析讨论如下: 诊断标准 (1)血尿酸浓度超过6mg%以上,(2),具有典型的病风关节炎病史和体征,(反复发
The clinical data of 14 cases of essential gout were analysed. The range of age was 60-76 year old (mean 62.57). All of them were male. Duration of illness was2 days-19 ye- ars (mean 5.7 years), besides one there were no general symptoms. The clinical discoveries were begun with acut sin- gle metatarsophalangeal arthritis in 13 cases (92.86%) , gout stones in 2 and gout nodes in 3. All of these cases were associated with obesity or/and hypertension, coronary heart disease and hyperlipemia. Laboratory findings were: The uric acid level in serum was above 6 mg/dl in all but one 5.84mg/dl; the uric acid levels in urine were normal or subnormal in all eases but 3 who had a mild supernormal levels which suggests of the relative inadequacy of uric acid. 13 eases(92.86%) had abnormal urine with renal dysfunction, in which esaes of tubular dysfunction were more than those of globular dysfunc- tion. 11(78.57%) out of 14 ca- ses were misdiagaosed into other di- seases such as rheumatic arthritis, celullitis, rheumatoid arthritis and acute synovitis The essential gout is one of the common disease in the aged patients, especially in male, with obesity or/and hypertension, coronary heart disease and hyperlipemia. The history of gout should be inquired, the signs about gout should be exa- mined and the serum uric acid should be determined. All of them are helpful in early diagnosis, with retional treatment will improve the prognosis.

关键词(KeyWords):

Abstract:

Keywords:

基金项目(Foundation):

作者(Author):
Cardre health department

Email:

DOI: 10.19367/j.cnki.1000-2707.1984.03.010

文章评论(Comment):

序号(No.) 时间(Time) 反馈人(User) 邮箱(Email) 标题(Title) 内容(Content)
反馈人(User) 邮箱地址(Email)
反馈标题(Title)
反馈内容(Content)
扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享