Uric acid 614 μmol/L is usually indicative of hyperuricemia (normal value <420 μmol/L) and does not necessarily represent kidney damage. Some hyperuricemia is caused by chronic renal insufficiency, when renal function is already impaired. Most primary hyperuricemia has no clinical symptoms, and the presence or absence of renal impairment needs to be determined in conjunction with other test results (urinary protein, creatinine, etc.). In chronic renal insufficiency, the impaired renal function leads to decreased ability of the kidneys to process uric acid, and hyperuricemia can occur. At the same time, primary hyperuricemia uncontrolled may also lead to renal function damage, manifested by increased blood creatinine, positive urine protein, etc. However, it does not mean that hyperuricemia must cause renal function damage, it is recommended that patients with hyperuricemia, improve the routine urinalysis, renal function, urinary ultrasound, and other indicators, to evaluate the renal function situation. Hyperuricemia is a lifelong disease, such as renal impairment often relatively poor prognosis, it is recommended that active treatment, control uric acid levels, in order to avoid the progression of the disease. It is recommended that patients with elevated uric acid consult a regular hospital in a timely manner and standardize treatment under the guidance of a physician.