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141. 高尿酸血症患者,下列何情況不須以降尿酸藥物治療?
(A) 有痛風石
(B) X-ray有因尿酸破壞關節或骨病變
(C) 經常痛風發作
(D) 血中尿酸大於7mg/dL
(E) 腎臟因尿酸引起之腎病變


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 【站僕】摩檸Morning:請問這題怎麼解?
倒數 1天 ,已有 1 則答案
. 大三上 (2021/09/30):

Hypouricemic drug therapy shouldbe considered when, as in most patients, the hyperuricemia cannotbe corrected by simple means (control of body weight, low-purinediet, increase in liquid intake, limitation of ethanol use, decreaseduse of fructose-containing foods and beverages, and avoidance ofdiuretics). 

The decision to initiate hypouricemic therapy usually ismade taking into consideration the number of acute attacks (urate lowering may be cost-effective after two attacks), serum uric acidlevels (progression is more rapid in patients with serum uric acid>535 μmol/L [>9.0 mg/dL]), the patient’s willingness to commit tolifelong therapy, or the presence of uric acid stones

(D)選項錯誤, 應要大於9mg/dL

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141. 高尿酸血症患者,下列何情況不須以降尿酸藥物治療? (A) 有痛風石 ..-阿摩線上測驗