中国临床保健杂志2018，Vol.21Issue(3)：398-401,4.DOI:10.3969/J.issn.1672－6790.2018.03.028
老年患者住院期间痛风发作的临床特点及其并发下肢深静脉血栓的情况分析
Analysis of gout attack and its complications in hospitalized elderly patients
摘要
Abstract
Objective To detect the possible causes of acute gout attack and its complications among hospital －ized elderly patients,and in order to avoid those factors that can lead to hospital acquired conditions (HACs).Methods The clinical manifestations and causes of 6 cases of elderly patients with acute gout attack and lower extremity DVT during hospital stay were analyzed retrospectively.Results ①The average age was (69 ±6) years.All of the six cases were male and with the history of hyperuricemia.Five cases were with gout.②Etiological factors analysis :Three cases were admitted to hospital with acute infectious diseases ,and another three cases with chronic diseases.Other diseases combined were metabolic diseases ,heart diseases,chronic renal failure and pulmonary disease.ESR and hs－CRP tested on admission were all elevated.③Causative factors analysis :drugs added after hospitalized were antibiotics ,statins,acar－bosesand ACE inhibitors.After admission,all patients received several examinations outside of the ward and adjusted diet because of metabolic diseases.④Clinical features:five cases of gout attack occurred within one week.Four cases were pol－yarthritis,while two cases with fever.All cases were with the distal lower extremity venous involved ,and five of those were calf intermuscular DVT.Conclusion Elderly hospitalized patients with a history of gout or hyperuricemia are at risk for the onset of acute gout attack caused by HACs ,which may cause complications such as DVT and prolong hospital stay.关键词
医原性疾病/住院病人/深静脉血栓形成/痛风/住院获得性问题/老年人Key words
Iatrogenic disease/Inpatients/Deep vein thrombosis/Gout/Hospital－acquired condition/Aged分类
医药卫生引用本文复制引用
李娅,曾平,朱鸣雷,刘晓红,李冬晶..老年患者住院期间痛风发作的临床特点及其并发下肢深静脉血栓的情况分析[J].中国临床保健杂志,2018,21(3):398-401,4.基金项目
中央保健重点科研项目(W2015ZD03) （W2015ZD03）
