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利尿剂众所周知,利尿剂能迅速地缓解肺充血的症状和水肿状态的效能.然而,应当劝阻将它们作为单一的药物治疗心力衰竭.利尿剂可降低血管内压,但是其可促发基本的异常.因为伴随它们的长期使用,往往可能进一步降低心输出量和肾素、血管紧张素、醛固酮系统的活性,从而引起更多的心力衰竭的病理生理变化.数个临床研究已经明确地证实,单独地利尿剂治疗比利尿剂联合其它药物产生较少的运动能力的改善,而更多地导致心力衰竭复发.相反,不用利尿剂几乎没有心力衰竭患者可以得到有效的治疗.洋地黄糖戒
Diuretics It is well known that diuretics can rapidly relieve the symptoms of pulmonary congestion and the efficacy of edematous states.However, they should be discouraged from treating them as a single agent for heart failure.Diuretics may lower the intravascular pressure, but they may elicit basic anomalies Because of their long-term use, it is often possible to further reduce cardiac output and renin, angiotensin, aldosterone system activity, causing more pathophysiological changes of heart failure.Clinical studies have clearly confirmed that alone Diuretics, in combination with diuretics and other medications, produce less improvement in locomotor activity, leading to more recurrence of heart failure, whereas conversely, patients who have no diuretic with almost no heart failure can be treated effectively.