Berry C, McMurray J J
Department of Cardiology, Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UK.
Heart. 2001 Apr;85(4):E8. doi: 10.1136/heart.85.4.e8.
In patients with chronic heart failure, spironolactone added to conventional treatment may lead to serious and, occasionally, fatal hyperkalaemia. In some cases this seems to happen because spironolactone causes diarrhoea. Four cases involving men with New York Heart Association functional class III heart failure are presented. As these cases revealed, close monitoring of blood chemistry is mandatory after starting spironolactone, and patients should be advised to stop spironolactone immediately if diarrhoea develops.
在慢性心力衰竭患者中，在常规治疗基础上加用螺内酯可能会导致严重的，偶尔甚至是致命的高钾血症。在某些情况下，出现这种情况似乎是因为螺内酯导致腹泻。本文介绍了4例纽约心脏协会心功能Ⅲ级的男性心力衰竭患者的病例。正如这些病例所显示的，开始使用螺内酯后必须密切监测血液生化指标，并且应建议患者如果出现腹泻应立即停用螺内酯。
