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吃了痛风药，反而更痛了

网友性别：男年龄：45 婚育情况：已婚

2013-08-27 18:54:17 | 浏览：601

昨天去您那看病，拿了药吃。结果今天更痛了，走路都痛得不行，结果只能躺床上了。到底怎么回事？药是，小苏打，苯溴马隆，布洛芬。

就诊情况：已就诊

昨天去您那看病，拿了药吃。结果今天更痛了，走路都痛得不行，结果只能躺床上了。到底怎么回事？药是，小苏打，苯溴马隆，布洛芬。

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邱明山医生回复发表于 2013-08-27 23:47:51

我院没有布洛芬，如果是我看病，肯定不会在痛风发作期使用降尿酸药。不知那个“您”是谁。我的建议：躺床是很好的休息，继续；若无胃痛、高血压、肾病、心脑血管病史，布洛芬可以继续使用，最大量每天可用至0.9g,停用小苏打及苯溴马隆，若要用，请予关节完成不痛后再酌情使用。建议至正规风湿病科诊治。

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邱明山 | 向该医生提问

厦门中医院 - 副主任医师

吴超英医生回复发表于 2013-08-28 21:10:04

痛风急性期（发作期）一般禁用降尿酸或排尿酸药，因为血尿酸的迅速波动可引起关节炎的症状发作或加重。痛风急性期主要表现为疼痛剧烈，如刀割样，在关节及周围软组织出现明显红、肿、热、痛，一般在一两天内达到高峰，一周左右可自行缓解。但临床曾遇过少数患者在缓解期（间歇期）服用苯溴马隆诱发痛风性关节炎发作、腹泻、肾绞痛，主要原因（1）短时间内吃了过多高嘌呤食物或酗酒（2）剧烈运动、穿新鞋久行、扭伤、劳累、感染。建议：（1）暂停苯溴马隆、小苏打，胃肠正常者可服用扶他林或英太青，严重者可配激素（2）卧床休息（3）多喝水，每天2500ml以上（4）少吃含嘌呤食物、禁酒（5）中医中药治疗。祝早曰康复！

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吴超英 | 向该医生提问

厦门市第二医院 - 主任医师

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吃了痛风药，反而更痛了

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