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呋塞米-阿米洛利联合用药治疗肝硬化患者腹水-水肿

[Furosemide-amiloride combination in the treatment of ascitic-edema in patients with hepatic cirrhosis].

作者信息

Uribe M, Rojas S, Casián C, Sierra J G, Moreno J, Lewis H, Guevara L

出版信息

Rev Gastroenterol Mex. 1980 Apr-Jun;45(2):63-8.

PMID:7403764
Abstract

The combination of furosemide-amiloride was used in the management of fluid retention in 16 cirrhotic patients. The study lasted 60 days. In 15 out of the 16 patients a clinical response was observed, namely increased urinary volumen and reduction of abdominal girth. The body weight was reduced by a mean of 7.7 Kg. Serum potassium rose, within normal limits, in 14 patients and a reduction of urinary potassium elimination was observed. Mild hepatic encephalopathy was noticeable in 3 cases, rapidly responding to treatment reduction or withdrawal. The combination of furosemide-amiloride seems to be of value in the management of fluid retention in liver cirrhosis and is uncommonly associated to side effects.

摘要

速尿-氨氯吡咪联合用药用于16例肝硬化患者的液体潴留治疗。研究持续60天。16例患者中有15例观察到临床反应,即尿量增加和腹围减小。体重平均减轻7.7千克。14例患者血清钾升高且在正常范围内,同时观察到尿钾排泄减少。3例出现轻度肝性脑病,减少或停用治疗后迅速缓解。速尿-氨氯吡咪联合用药在肝硬化液体潴留治疗中似乎有价值,且副作用罕见。

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1
[Furosemide-amiloride combination in the treatment of ascitic-edema in patients with hepatic cirrhosis].呋塞米-阿米洛利联合用药治疗肝硬化患者腹水-水肿
Rev Gastroenterol Mex. 1980 Apr-Jun;45(2):63-8.
2
[Effects of a potassium-sparing diuretic in cardiac edema and ascitic cirrhosis].[保钾利尿剂对心性水肿和肝硬化腹水的作用]
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Nouv Presse Med. 1975 Apr 5;4(14):1043.
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[Treatment of the edemato-ascitic syndrome in cirrhotics, role of amiloride (MK870)].[肝硬化患者水肿-腹水综合征的治疗,氨氯吡咪(MK870)的作用]
Bord Med. 1972 Oct;5(16):2141-9.
5
The effect of amiloride/hydrochlorothiazide combination vs furosemide plus potassium supplementation in the treatment of oedema of cardiac origin.
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[Treatment of cardiac failure with diuretics. A double-blind study comparing a fixed combination of hydrochlorothiazide/amiloride and furosemide plus potassium substitution].
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Randomized clinical study of the efficacy of amiloride and potassium canrenoate in nonazotemic cirrhotic patients with ascites.氨氯吡咪和螺内酯钾对非氮质血症肝硬化腹水患者疗效的随机临床研究
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[Clinical program of therapy for ascitic edema in liver disease].[肝病腹水水肿的临床治疗方案]
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Prensa Med Mex. 1978 Mar-Apr;43(3-4):89-94.