Traina M, Vizzini G B
Minerva Med. 1986 Jan 28;77(3-4):87-91.
Two groups of patients with water retention due to ascites in cirrhosis of the liver were treated with antialdosterone diuretics (42 cases with K-canrenoate and 48 cases with spironolactone) for prolonged periods of time (an average of more than 5 months). Both substances were seen to be active, re-equilibrating sodium and water balance, bearing in mind a few methodologic limitations described in the text. Investigation of possible side effects showed that the incidence of gynecomastia, which is fairly common with spironolactone, was considerably reduced or practically absent with K-canrenoate.
两组肝硬化腹水所致水潴留患者长期使用抗醛固酮利尿剂治疗(42例使用坎利酸钾,48例使用螺内酯),平均治疗时间超过5个月。考虑到文中所述的一些方法学局限性,发现这两种药物均有活性,能使钠和水平衡重新恢复。对可能的副作用进行调查发现,螺内酯较为常见的男性乳房发育症的发生率在使用坎利酸钾时大幅降低或几乎不存在。