MacGregor G A, Tasker P R, de Wardener H E
Lancet. 1975 Mar 1;1(7905):489-92. doi: 10.1016/s0140-6736(75)92833-0.
Diuretics are now commonly prescribed for women with so-called idiopathic oedema. Two patients with idiopathic oedema, one of whom was oedematous on diuretics, had the diuretics stopped. In one the oedema became much worse, and in the other oedema developed. However, this oedema disappeared spontaneously in both patients and they have remained free of oedema on no treatment. It is suggested that in some patients treated with diuretics compensatory mechanisms to retain sodium and water may be stronger than the diuretic-effect itself and may lead to perpetuation of unnecessary treatment.
利尿剂目前常用于治疗患有所谓特发性水肿的女性。两名患有特发性水肿的患者,其中一名在服用利尿剂时仍有水肿,停用了利尿剂。其中一名患者的水肿变得更加严重,另一名患者则出现了水肿。然而,两名患者的水肿均自行消退,且未接受任何治疗后一直未再出现水肿。有人认为,在一些接受利尿剂治疗的患者中,保留钠和水的代偿机制可能比利尿剂本身的作用更强,可能导致不必要的治疗持续进行。