上消化道出血期间痛风急性发作186例诊治体会  

Acute gout attack during upper gastrointestinal bleeding：a report of 186 cases

作　　者：赵建秋[1] 卢向东[1] 闻淑军[1] 张志广[1] 

机构地区：[1]天津医科大学第二医院消化科,300211

出　　处：《中华全科医师杂志》2014年第6期483-484,共2页Chinese Journal of General Practitioners

摘　　要：回顾性分析186例上消化道出血期间痛风急性发作患者临床资料，男女之比为1.7∶1，吸烟、饮酒者占66.1％（123/186），有基础疾病的占62.4％（116/186），所有患者均有关节红肿痛及血尿酸升高。接受胃镜检查166例，行胃镜下治疗88例。痛风急性发作时治疗上加用塞来昔布及地塞米松可控制痛风症状，未诱发或加重消化道出血。提示消化道出血期间痛风急性发作时使用选择性环氧合酶-2抑制剂及激素在一定程度上是相对安全的。The clinical data of 186 patients with acute gout attack during upper gastrointestinal bleeding were analyzed retrospectively.The ratio of male to female was 1.7∶1, smokers and alcohol drinkers accounted for 66.1% （ 123/186 ） and 62.4% （ 116/186 ） of patients were had underlying diseases.All patients had different degree of joint painful and fever , the blood uric acid levels were higher.Gastroscopic examinations were performed in 166 patients , of whom 88 cases received endoscopic intervention.The symptoms of gout were improved after treatment with dexamethasone and celecoxib ; and the medication did not induce or increase gastrointestinal bleeding.

关 键 词：消化道出血 痛风 

分 类 号：R573.2[医药卫生—消化系统]