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2例饮酒后出现骨、关节疼痛但无器质性病变病例,笔者暂称之为酒精性骨痛,现报道如下。 例1.患者男,36岁。饮酒半小时后出现左膝关节及左大腿剧烈疼痛。既往亦有酒后疼痛史。查体:神志清楚,皮肤可见荨麻疹,左膝关节及左股骨压痛明显。但无红、肿,其余骨骼无压痛。X线摄片检查正常。血尿酸0.30mmol/L,血清钙2.5mmol/L,血清磷1.05mmol/L。血硷性磷酸酶10~U。均在正常范围。给予强痛定等治疗后症状消失。 例2.患者男性,44岁。饮白酒后出现右上臂
2 cases of bone after drinking, joint pain but no organic lesions, the author tentatively called alcoholic bone pain, are reported below. Example 1. Patient male, 36 years old. Half an hour after drinking left knee and left thigh severe pain. Past history of drink and pain. Examination: Consciousness, urticaria visible skin, left knee and left femur tenderness significantly. But no red, swollen, no tenderness in the rest of the bones. X-ray examination was normal. Serum uric acid 0.30mmol / L, serum calcium 2.5mmol / L, serum phosphorus 1.05mmol / L. Blood alkaline phosphatase 10 ~ U. Are in the normal range. Give strong pain and other symptoms disappear after treatment. Example 2. Male patient, 44 years old. After drinking white wine appeared in the upper right arm