患者,男,61岁,晨起突然发病,左脚踝、脚背在1 d内肿起,患者自觉胀痛,无法下地行走,翌日右脚亦开始肿胀疼痛,就医查血常规,C-反应蛋白较高,为22 mg/L,翌日一早空腹查血尿酸值461μmol/L。患者自服秋水仙碱0.5 mg,服药后未见效,却出现腹泻等不良反应。再次就医后考虑诊断为急性痛风性关节炎,予双氯芬酸钠75 mg,每天1次,配合芙蓉膏、定痛 Patients, male, 61 years old, sudden onset of morning sickness, left ankle, instep in 1 d swollen, the patient consciously pain, unable to walk, the next day also began to swollen right foot pain, medical examination blood routine, C-reactive protein than High, 22 mg / L, the next day morning fasting blood uric acid value 461μmol / L. Patients self-serving colchicine 0.5 mg, no effect after taking the medication, but there are adverse reactions such as diarrhea. Considered again after diagnosis of acute gouty arthritis, to diclofenac sodium 75 mg, 1 day, with the lotus cream, pain