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临床上对各种心脏病心衰及肝硬化腹水患者使用速尿、噻嗪类利尿剂时补钾已成常规.但易忽略低镁,造成治疗上失误,甚至危及病人生命.笔者近2年来曾遇3例,现报告如下.例1:患都男,64岁.因肝硬化腹水7年,病情加重10天来院门诊.查体:患者高度腹胀,明显腹水,两下肢凹陷性水肿.予双氢克顥瞳(简称双克)50mg,2次/d,并用其他护肝药物口服.2天盾腹水明显消退.第3日下午始两手痉挛,入夜伴左侧腓肠肌抽搐.发作时患者精神
Clinic clinical heart failure and cirrhosis of patients with ascites furosemide, thiazide diuretic potassium has become routine, but easy to ignore low-magnesium, resulting in treatment errors, and even endanger the lives of patients. The author of the past two years Case 1, suffering from male, 64 years old. Due to cirrhosis of the ascites for 7 years, the condition worsened 10 days to the hospital. Physical examination: patients with severe abdominal distension, ascites, depression of the lower limb edema. Hydrochlorothiazide (double grams) 50mg, 2 times / d, and oral administration of other liver drugs .2 days shield ascites significantly subsided .At the beginning of the 3rd afternoon of both hands spasm, night with left gastrocnemius convulsions .Spiritual spirit