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本文介绍了1990～1993年我院住院的19例老年高尿酸肾病患者.除血尿酸升高外,全部患者伴有不同程度的高血压和肾损害.往往伴有关节痛和肾结石.老年患者常因饮酒过量、高嘌呤饮食、受凉、劳累诱发.以下几点有助于诊断:①本病老年患者并不少见;②肾功能减退进展缓慢,早期以肾小管功能损害为主;③血尿酸升高与肌酐不成比例,血尿酸/血肌酐可>2.5;④痛风肾病有典型临床表现,而原发肾小球疾病即使尿酸很高也很少发生关节炎等改变;⑤肾活检可助鉴别.
This article describes 19 hospitalized elderly patients with high uric acid nephropathy in our hospital from 1990 to 1993. In addition to elevated blood uric acid, all patients with varying degrees of hypertension and renal damage are often associated with arthralgia and kidney stones. Often due to excessive drinking, high purine diet, cold, fatigue induced. The following points contribute to the diagnosis: ① the elderly patients with this disease is not uncommon; ② slow progress of renal dysfunction, early renal damage to the main function; ③ uric acid Elevated blood creatinine disproportionate, blood uric acid / serum creatinine can be> 2.5; ④ gouty kidney disease has a typical clinical manifestations, while the primary glomerular disease even if uric acid is high and rarely occur arthritis and other changes; ⑤ renal biopsy can help identify .