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利尿剂:历史和演变概述。

Loop Diuretics: An Overview of Its History and Evolution.

机构信息

Professor, Department of Medicine, College of Medicine and Sagore Dutta Medical College, Kolkata, West Bengal, India, Corresponding Author.

Consultant Physician and Diabetologist, Department of Medicine, Shilpa Medical Research Centre, Mumbai, Maharashtra, India.

出版信息

J Assoc Physicians India. 2024 Sep;72(9S):11-13. doi: 10.59556/japi.72.0669.

Abstract

The loop of Henle plays a key role in kidney function, especially in retaining solutes and concentrating urine. Diuretic agents, crucial for managing fluid overload and related conditions like hypertension and heart failure (HF), enhance water and electrolyte excretion. The history of diuretics dates back to 1775 with the discovery of , evolving significantly with the introduction of chlorothiazide in 1957, which revolutionized diuretic therapy. Loop diuretics, developed in the 1950s and including drugs like torsemide, furosemide, and ethacrynic acid, are potent agents acting on the loop of Henle. They are vital for treating severe fluid overload conditions and require careful monitoring to manage potential side effects.

摘要

亨氏袢在肾脏功能中起着关键作用,特别是在保留溶质和浓缩尿液方面。利尿剂对于治疗液体超负荷和相关疾病(如高血压和心力衰竭)至关重要,可增强水和电解质的排泄。利尿剂的历史可以追溯到 1775 年,当时发现了 ,1957 年氯噻嗪的引入使其发生了重大变化,彻底改变了利尿剂治疗。1950 年代开发的袢利尿剂,包括托塞米、呋塞米和依他尼酸等药物,是作用于亨氏袢的强效药物。它们对于治疗严重的液体超负荷情况非常重要,需要仔细监测以管理潜在的副作用。

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