摘要
本文报道25例痛风性关节炎，其中单关节发病者16例．多关节发病者9例。第一跖趾关节受累占72％，血尿酸均＞416μmol／L。初次发作时多数侵袭单侧第一跖趾关节。慢性关节炎期可形成痛风石及出现关节畸形。急性发作期秋水仙碱治疗均有明显效果。临床上痛风的诊断并不困难，但漏诊和误诊常有发生。作者认为凡具有反复发作的、非对称性的跖趾关节或其它关节剧烈的红、肿、热、痛者，特别是第一跖趾关节受累者．应高度警惕痛风性关节炎，及时查血尿酸，必要时诊断性治疗。
25 cases of gouty arthritis were presented in this paper, in which mono-and multi-jointinvolvements were found in 16 and 9 cases respectively, and 72 per cent of them had first metatarsophalangeal joint involved. The levels of blood Uric acid were all more than 416 μmol/L. The initial paroxysm mostly attacked the unilateral first metatarsophalangcal joint. Tophi and joint deformities could be found in chronic peried. In the period of acute onset colchicine was vcry offective. Although the clinical diagnosis of gout was not difficult. misdiagnoses happened now and then. The authers thought, if onc patient had repeated onsets of asymmetrical metatarsophalangcal joint arthritis or severe reddening, swelling. hotting and pain of other joint(s), especially involved first metatarsophalanged joint, gouty arthritis should be considered, the level of blood uric acid should be checked and diagnostic treatment should becarried out if necessary.
出处
《颈腰痛杂志》
1997年第3期165-166,共2页
The Journal of Cervicodynia and Lumbodynia
