<p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">周末来了，难得狂欢，如果你喜欢大鱼大肉、海鲜全宴、老火靓汤，觥筹交错间把酒言欢。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">那么，很遗憾，您离老百姓经常听说的痛风又更近一步了。</h3> <p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">痛风，一个大家“熟悉”却实际上未必就真正“耳熟能详”的疾病。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">现在就让风湿免疫科专科医生带您一起了解痛风患者发病及诊治的昨天、今天和明天吧。</h3><section class="" style="max-width: 100%; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><section style="margin-right: auto; margin-left: auto; max-width: 100%; width: 260px; word-wrap: break-word !important;"><section class="" style="padding: 6px; max-width: 100%; border-width: 1px; border-style: solid; border-color: rgb(0, 176, 80); color: rgb(128, 177, 53); text-align: center; background-color: rgb(254, 254, 254); transform: rotate(360deg); word-wrap: break-word !important;"><p style="max-width: 100%; clear: both; min-height: 1em; word-wrap: break-word !important;"> <span style="max-width: 100%; font-size: 20px; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">痛风患者的昨天：高尿酸 </strong></span></h3></section><section data-width="100%" style="margin-top: -5px; max-width: 100%; width: 260px; word-wrap: break-word !important;"><img class="" data-ratio="0.04748201438848921" data-src="https://mmbiz.qpic.cn/mmbiz_jpg/iaGswicCbWm6ibahOtUhn1BVWVNooCb4UjykYQ0u46EPYOicGgPTKOBObibfTKM1QG1v9JChhwqkQHc55LF2u8Cd10w/640?wx_fmt=jpeg" data-type="jpeg" data-w="695" data-width="100%" _width="100%" src="https://mmbiz.qpic.cn/mmbiz_jpg/iaGswicCbWm6ibahOtUhn1BVWVNooCb4UjykYQ0u46EPYOicGgPTKOBObibfTKM1QG1v9JChhwqkQHc55LF2u8Cd10w/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" crossorigin="anonymous" data-fail="0" style="max-width: 100%; width: 260px; height: auto !important; word-wrap: break-word !important; visibility: visible !important;"></section></section></section><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">没有高尿酸血症就没有痛风！</strong></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">凡是皆有因果，每一个痛风性关节炎的病人，发作前一定有一个不被察觉或虽被察觉却未被重视的高尿酸血症期。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">高尿酸血症为什么存在？</strong></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">这正是平时不注意的时候进食过量的海鲜、动物内脏、肉类食物、老火靓汤、饮酒等高嘌呤饮食的结果，高嘌呤饮食下又运动极少，机体代谢不起来，血尿酸水平自然duang duang duang就上去了。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">但是需要明确的一点是高尿酸血症并不等于痛风。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">高尿酸血症是发生痛风的先决条件。约有5%-12%的高尿酸血症患者最终会发生痛风。</h3> <p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">我们来看看痛风和高尿酸血症的定义：</strong><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">目前的痛风是一组综合征的概念，包括关节炎、痛风石、尿路结石、痛风性肾病等。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">而高尿酸血症指370C时血清中尿酸盐浓度超过血清单尿酸盐溶解极限。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">值得注意的是男女的高尿酸血症定义值不同，不能一概而论。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">一般而言，我们认为男性血尿酸超过416μmol/L (7.0mg/dl)；女性超过357μmol/L (6.0mg/dl)可以被称为高尿酸血症。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); word-wrap: break-word !important;">从理论上来说，血尿酸水平越高，发生痛风的几率也随之升高。</span></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); word-wrap: break-word !important;">另外需要说明的是痛风急性发作时血尿酸不一定高于平时水平。</span></h3><section class="" style="max-width: 100%; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><section style="margin-right: auto; margin-left: auto; max-width: 100%; width: 260px; word-wrap: break-word !important;"><section class="" style="padding: 6px; max-width: 100%; border-width: 1px; border-style: solid; border-color: rgb(0, 176, 80); color: rgb(128, 177, 53); text-align: center; background-color: rgb(254, 254, 254); transform: rotate(360deg); word-wrap: break-word !important;"><p style="max-width: 100%; clear: both; min-height: 1em; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 20px; word-wrap: break-word !important;"> 痛风患者的今天：</span></strong></h3><p style="max-width: 100%; clear: both; min-height: 1em; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 20px; word-wrap: break-word !important;">关节疼痛急性发作 </span></strong></h3></section><section data-width="100%" style="margin-top: -5px; max-width: 100%; width: 260px; word-wrap: break-word !important;"><img class="" data-ratio="0.04748201438848921" data-src="https://mmbiz.qpic.cn/mmbiz_jpg/iaGswicCbWm6ibahOtUhn1BVWVNooCb4UjykYQ0u46EPYOicGgPTKOBObibfTKM1QG1v9JChhwqkQHc55LF2u8Cd10w/640?wx_fmt=jpeg" data-type="jpeg" data-w="695" data-width="100%" _width="100%" src="https://mmbiz.qpic.cn/mmbiz_jpg/iaGswicCbWm6ibahOtUhn1BVWVNooCb4UjykYQ0u46EPYOicGgPTKOBObibfTKM1QG1v9JChhwqkQHc55LF2u8Cd10w/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" crossorigin="anonymous" data-fail="0" style="max-width: 100%; width: 260px; height: auto !important; word-wrap: break-word !important; visibility: visible !important;"></section></section></section><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">高尿酸血症是怎么引起痛风的？</strong></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">正常人体血液里尿酸的饱和度大概为400 umol/L左右，当血液尿酸浓度超过了饱和度，就会析出尿酸盐结晶沉积到关节、骨头处。</h3> <h3><span style="color: rgb(51, 51, 51); font-family: sans-serif; letter-spacing: 0.544px; text-align: justify; white-space: normal;">每次有什么原因，比如高嘌呤饮食引起了血尿酸水平再升高，就会有新结晶沉积；或者有什么原因，比如爆发式的剧烈运动、或者不正确的服用别嘌醇、非布司他等降尿酸药物，引起尿酸水平骤降，已经沉积的结晶就会溶解——不管是晶体的新沉积、还是溶解，都会引起已经沉积的尿酸盐结晶的不稳定，趋化释放炎症因子，于是痛风发作。</span><br></h3> <p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); word-wrap: break-word !important;">如图所示</span></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">关节都被绿色的尿酸盐结晶所“占据”破坏了。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">痛风急性期的治疗：抗炎为主</strong></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">如前所述，不管什么原因，痛风发作是由于尿酸盐结晶不稳定趋化了炎症因子的释放。<br style="max-width: 100%; word-wrap: break-word !important;">因此，痛风急性期的治疗立足于抗炎药物。常用的抗炎药物包括非甾类抗炎药物（NSAID）、秋水仙碱和激素，医生根据病人的病情及自身基础疾病情况给予选择，病情严重时可联合用药。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">治疗误区一：抗生素+地塞米松</strong></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); word-wrap: break-word !important;">中国风湿免疫界的科普确实是让人揪心。</span></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">时至今日，循证医学高度普及，国内许多基层医生治疗痛风急性期，还是立足于抗生素+地塞米松，而这种做法，余医生要打一个大大的叉号！</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); word-wrap: break-word !important;">抗生素≠抗炎药！抗生素=抗菌药，不是抗炎药！</span></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">如前所述，痛风的起病，与细菌感染无关，是尿酸盐结晶所致的炎症，抗生素的治疗是无效的，属于滥用抗生素！</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); word-wrap: break-word !important;">而地塞米松，属于长效类激素，副作用极大。</span></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">激素属于痛风急性期治疗的二线用药，仅当使用NSAID或秋水仙碱无效或存在禁忌时才选择，即便选择，也是选择短效的激素，使用地塞米松也是要打一个大大的叉号的。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">治疗误区二：急性期降尿酸治疗</strong></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">医生也好、患者也罢，很多人都知道痛风的发作与高尿酸有关，于是乎，急性期“不约而同”的使用降尿酸药物。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); word-wrap: break-word !important;">如前所述，降尿酸药物一上，尿酸急剧下降，反而不利于痛风的控制。</span></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">所以，痛风急性期，如果平时未使用降尿酸药物，此刻不宜加用降尿酸药物，冰冻三尺非一日之寒。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); word-wrap: break-word !important;">等急性期过去了，再在医生指导下才开始加用降尿酸药物，不能急于一时。</span><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">如果平时吃开了降尿酸药物突然急性发作，则主张按平时用量继续服用，不停药、不加减用量，以保证体内嘌呤代谢的稳态。</h3><section class="" style="max-width: 100%; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><section style="margin-right: auto; margin-left: auto; max-width: 100%; width: 260px; word-wrap: break-word !important;"><section class="" style="padding: 6px; max-width: 100%; border-width: 1px; border-style: solid; border-color: rgb(0, 176, 80); color: rgb(128, 177, 53); text-align: center; background-color: rgb(254, 254, 254); transform: rotate(360deg); word-wrap: break-word !important;"><p style="max-width: 100%; clear: both; min-height: 1em; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 20px; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;"> 痛风患者的明天：</strong></span></h3><p style="max-width: 100%; clear: both; min-height: 1em; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 20px; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">触目惊心！</strong></span></h3></section><section data-width="100%" style="margin-top: -5px; max-width: 100%; width: 260px; word-wrap: break-word !important;"><img class="" data-ratio="0.04748201438848921" data-src="https://mmbiz.qpic.cn/mmbiz_jpg/iaGswicCbWm6ibahOtUhn1BVWVNooCb4UjykYQ0u46EPYOicGgPTKOBObibfTKM1QG1v9JChhwqkQHc55LF2u8Cd10w/640?wx_fmt=jpeg" data-type="jpeg" data-w="695" data-width="100%" _width="100%" src="https://mmbiz.qpic.cn/mmbiz_jpg/iaGswicCbWm6ibahOtUhn1BVWVNooCb4UjykYQ0u46EPYOicGgPTKOBObibfTKM1QG1v9JChhwqkQHc55LF2u8Cd10w/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" crossorigin="anonymous" data-fail="0" style="max-width: 100%; width: 260px; height: auto !important; word-wrap: break-word !important; visibility: visible !important;"></section></section></section><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">痛风的苦，有谁懂</strong></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">老余（化名）在家人陪同下来到诊室，他缓缓的坐下，满脸愁苦，一双早已变形的手扶在桌角，伤感的说“医生，我真是悔不当初啊”。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">原来老余已患痛风多年，在病初他根本没有重视，起初偶偶出现关节疼痛，吃颗止痛药便过了，也没有在意。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;">如今，5年过去了，发作越来越频繁，几乎没有“好”的时候，一个个关节上都开始出现大小各异的黄白色结节，关节功能受损，连走路都已经不方便了。</h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br style="max-width: 100%; word-wrap: break-word !important;"></h3><h3></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><a href="http://99jk.zsmalimei.cn/home_wx/art_v2.shtml?id=1ec197f9-b88b-11e8-bb9d-6c92bf316333" target="_blank" style="color: rgb(87, 107, 149); -webkit-tap-highlight-color: rgba(0, 0, 0, 0); max-width: 100%; word-wrap: break-word !important;"><span class="" data-positionback="static" style="max-width: 100%; top: auto; left: auto; right: auto; bottom: auto; word-wrap: break-word !important;"><span class="js_jump_icon h5_image_link" style="max-width: 100%; font-size: 0px; display: inline-block; position: relative; left: auto; top: auto; right: auto; bottom: auto; word-wrap: break-word !important;"><img class="" data-ratio="0.8859375" data-src="https://mmbiz.qpic.cn/mmbiz_jpg/PQsvOSt33Sjxp3oh5wqT1r3e6xwMwIj7fyVIwUdYzwZkbNMPiaQIhruBiazPdUCCTzBnia6RyH0iaicUUvnWJGRa6Gw/640?wx_fmt=jpeg" data-type="jpeg" data-w="640" _width="328px" src="https://mmbiz.qpic.cn/mmbiz_jpg/PQsvOSt33Sjxp3oh5wqT1r3e6xwMwIj7fyVIwUdYzwZkbNMPiaQIhruBiazPdUCCTzBnia6RyH0iaicUUvnWJGRa6Gw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" crossorigin="anonymous" data-fail="0" style="max-width: 100%; position: static; height: auto !important; word-wrap: break-word !important; width: 328px !important; visibility: visible !important;"></span></span></a></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br style="max-width: 100%; word-wrap: break-word !important;"></h3><p style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); letter-spacing: 0.544px; text-align: justify; white-space: normal; font-family: sans-serif; word-wrap: break-word !important;"><br></h3> <h3>给老余做了初步的体格检查后发现，他的多个关节都已变形且活动受限。手、足、肘、膝、耳廓等多处都已布满痛风石，部分严重的地方，痛风石已经破溃，流出白色的结晶，在验血后发现老余不仅关节坏了，肾脏也危险了，出现了多发肾结石，肾功能异常。<br></h3> <h3>痛风易复发,反复发作后,可累及多个关节，并导致关节畸形。<br></h3> <h3>如前所述，痛风一定要规范诊治，血尿酸水平一定要控制好，如不控制，一旦破坏了关节或者损伤到内脏，后悔莫及。<br></h3> <h3>治疗误区四：降尿酸不预防性抗炎<br></h3> <h3>然而，秋水仙碱副作用大，那是过去错误使用的时代留下了的刻板印象，原来一个小时就吃一两片的用法，副作用自然是极大。<br></h3>