尽管用利尿剂时,注意低钾血症很重要,但W J MacLennan教授强调要注意低钠血症和尿毒症的出现。服用利尿剂病人可能出现的生化结果的一种重要方式是低血浆钠和正常尿素浓度。这易被错误的认为是抗利尿激素分泌不足综合征,当伴有轻度或无尿素浓度升高的低钠血症出现时,综合征常是一种“膝反射”诊 Although it is important to note that hypokalemia is a diuretic, Professor W J MacLennan stresses the importance of hyponatremia and uremia. One of the important ways in which diuretic patients may exhibit biochemical consequences is low plasma sodium and normal urea concentrations. This is easily misidentified as an antidiuretic hormone insufficiency syndrome, a syndrome commonly seen as “knee reflex” when hyponatremia with or without elevated urea levels occurs