急性心力衰竭长期服用利尿剂会有哪些副作用 张雪娥 山西医科大学第二医院 скачать в хорошем качестве

急性心力衰竭长期服用利尿剂会有哪些副作用 张雪娥 山西医科大学第二医院

急性心力衰竭长期服用利尿剂会有哪些副作用 张雪娥 山西医科大学第二医院 急性心力衰竭长期服用利尿剂的副作用有：1、如果大量的利尿，其血容量会降低，这个时候会引起血压的下降，可导致血容量不足。2、利尿以后，由于血容量的降低，肾的血流量就会降低，这时会导致肾素的分泌增加，进而导致肾素血管紧张素醛固酮系统过度的激活，会引起血容量增加后负荷的增加，最终又会加重心脏的负担，使得心衰恶化。3、大量利尿的使用会引起电解质的紊乱，会导致低钾、低钠、低氯血症。4、有一些利尿剂，如噻嗪利尿剂，它会导致尿酸的升高。 What are the side effects of taking diuretics for a long time in acute heart failure The side effects of taking diuretics for a long time in acute heart failure are as follows: 1, Its blood volume will decrease, This can cause a drop in blood pressure, May cause insufficient blood volume. 2. After diuresis, Because of the decrease of blood volume, The blood flow of the kidney will decrease, This leads to an increase in renin production, This leads to over activation of the renin-a-aldosterone system, It will increase the load after the increase of blood volume, It will eventually increase the burden on the heart, Make heart failure worse. 3. The use of large amount of diuretic will cause electrolyte disorder, Can cause hypokalemia, hyponatremia, hypochloremia. 4. There are some diuretics, Such as thiazide diuretics, It causes an increase in uric acid.