Vawter R L, Antonelli M A
Section of Rheumatology, West Virginia University School of Medicine, Morgantown.
Postgrad Med. 1992 Feb 1;91(2):115-8, 127. doi: 10.1080/00325481.1992.11701199.
The most definitive method of diagnosis for acute gouty arthritis is aspiration of the affected joint and examination of the fluid for the characteristic needle-shaped monosodium urate crystals. Treatment is aimed at promptly stopping the attack and reversing complications. Colchicine and various nonsteroidal anti-inflammatory drugs are effective for both treatment and prophylaxis. Antihyperuricemic therapy may be indicated in patients who have had several attacks in a year.
急性痛风性关节炎最确切的诊断方法是抽取患关节的积液，并检查其中是否有特征性的针状尿酸钠晶体。治疗旨在迅速终止发作并逆转并发症。秋水仙碱和各种非甾体抗炎药对治疗和预防均有效。一年内发作数次的患者可能需要进行降尿酸治疗。
