Reyes A J, Leary W P
S Afr Med J. 1983 Mar 12;63(11):410-2.
Many diuretics cause hypermagnesiuria which may lead to magnesium deficiency, presenting as hypomagnesaemia, cardiac arrhythmias and tetany. Loop diuretics cause hypermagnesiuria mainly through direct blockade of magnesium reabsorption at the loop of Henle. Distal tubular diuretics block magnesium reabsorption at the distal convoluted tubule and also reduce magnesium reabsorption at the loop of Henle by an indirect mechanism.
许多利尿剂会导致高镁尿症,这可能会引发镁缺乏,表现为低镁血症、心律失常和手足搐搦。袢利尿剂主要通过直接阻断亨利袢处的镁重吸收来导致高镁尿症。远曲小管利尿剂会阻断远曲小管处的镁重吸收,还会通过间接机制减少亨利袢处的镁重吸收。