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原发性尿酸性(痛风)肾病在国内并非罕见,但常由于我们对其认识不足而误诊为其它病.现就我院1985年至1986年9月份收治的12例慢性原发性尿酸性肾病的误诊谈谈体会,以提高对此病的识别能力.一般资料12例中除1例为女性外,均为男性,平均年龄44岁.临床按肾功能损害程度可分为两组:1.肾功能正常组,该组3例病程半年至20余年.有2例有四肢小关节红肿疼痛史,其中1有X线骨关节面示有典型穿凿样破坏.2例做过B超检查,1例示左肾轻度积水,右肾内示有3个米粒样强光团,1例左肾缩小.尿路X线均未见阳性结石影,
Primary uric acid (gout) nephropathy is not uncommon in China, but often due to our lack of understanding of misdiagnosed as other diseases are now in our hospital from 1985 to September 1986 admitted to 12 cases of chronic primary uric acid nephropathy Of the misdiagnosis to talk about experience, in order to improve the recognition of the disease.General information in 12 cases except 1 case of female, both men, mean age 44 years.According to the clinical extent of renal damage can be divided into two groups: Normal renal function group, the course of 3 cases of six months to 20 years, there are 2 cases of limbs joint swelling and pain history, of which 1 X-ray showed a typical surface wear cutting damage .2 cases had done B-ultrasound, 1 An example of mild left kidney water, the right kidney showed three rice-like light group, a case of left kidney narrowing. Urinary tract X-ray showed no positive shadow,