急性痛风性滑囊炎：15例报告。
Acute gouty bursitis: report of 15 cases.
作者信息
Canoso J J, Yood R A
出版信息
Ann Rheum Dis. 1979 Aug;38(4):326-8. doi: 10.1136/ard.38.4.326.
Fifteen cases of acute gouty bursitis were seen among 136 crystal-proved cases of gout. Bursal aspirate yielded yellow or pink fluid in 10, chalky white fluid in 1, and a small amount of bloody fluid in 4. Monosodium urate crystals were present in all. Bursal fluid leucocyte counts averaged 2.9 X 10(9)/1 compared with synovial fluid leucocyte counts that averaged 25.5 X 10(9)/1 in cases of articular gout (P less than 0.05). Gouty, septic, and idiopathic (traumatic) bursitis share clinical features, and detailed bursal fluid analysis is crucial for diagnosis.
在136例经晶体证实的痛风病例中，有15例出现急性痛风性滑囊炎。滑囊穿刺抽出液中，10例为黄色或粉红色液体，1例为灰白色液体，4例为少量血性液体。所有病例均存在尿酸钠晶体。滑囊液白细胞计数平均为2.9×10⁹/L，而关节痛风病例的滑液白细胞计数平均为25.5×10⁹/L（P<0.05）。痛风性、化脓性和特发性（创伤性）滑囊炎具有共同的临床特征，详细的滑囊液分析对诊断至关重要。
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