期刊文献+

慢性心力衰竭患者利尿剂抵抗的研究现状 被引量:51

原文传递
导出
摘要 在慢性心力衰竭(心衰)患者,利尿剂是标准治疗中的基础成分。然而近25%~30%的心衰患者会发生利尿剂抵抗。尤其在中度或重度心衰患者,利尿剂抵抗的发生率更高。利尿剂抵抗与慢性心衰患者的总病死率以及因猝死或泵衰竭导致的死亡有独立相关性,所以其本身也是判断心衰预后的重要因子。现就利尿剂抵抗的定义、发生机制、处理策略几方面进行综述。
作者 魏勇 欧阳平
出处 《中华内科杂志》 CAS CSCD 北大核心 2010年第6期525-527,共3页 Chinese Journal of Internal Medicine
  • 相关文献

参考文献10

  • 1Kittleson M,Hurwitz S,Shah MR,et al.Development of circulatory-renal limitations to angiotensin-converting enzyme inhibitors identifies patients with severe heart failure and early mortality.J Am Coll Cardiol,2003,41:2029-2035.
  • 2De Bruyne LK.Mechanisms and management of diuretic resistance in congestive heart failure.Postgrad Med J,2003,79:268-271.
  • 3Hall D.Controversies in heart failure.Are beneficial effects of angiotensin-converting enzyme inhibitors attenuated by aspirin in patients with heart failure? Cardiol Clin,2001,19:597-603.
  • 4Bard RL,Bleske BE,Nicklas JM.Food:an unrecognized source of loop diuretic resistance.Pharmacotherapy,2004,24:630-637.
  • 5Jaski BE,Ha J, Denys BG,et al. Peripherally inserted veno-venous ultrafdtration for rapid treatment of volume overloaded patients.J Card Fail,2003,9:227-231.
  • 6Costanzo MR, Saltzberg M, O' Sullivan J, et al. Early ultrafiltration in patients with decompensated heart failure and diuretic resistance.J Am Coll Cardiol,2005,46:2047-2051.
  • 7Givertz MM,Massie BM,Fields TK,et al. The effects of KW-3902,an adenosine A1-receptor antagonist,on diuresis and renal function in patients with acute decompensated heart failure and renal impairment or diuretic resistance.J Am Coll Cardiol,2007,50:1551-1560.
  • 8Cotter G,Dittrich HC,Weatherley BD,et al. The PROTECT pilot study:a randomized,placebo-controlled,dose-finding study of the adenosine Al receptor antagonist rolofylline in patients with acute heart failure and renal impairment.J Card Fail,2008,14: 631-640.
  • 9Paterna S,Di Pasquale P,Parrinello G,et al.Effects of high-dose furosemide and small-volume hypertonic saline solution infusion in comparison with a high dose of furosemide as a bolus, in refractory congestive heart failure.Eur J Heart Fail,2000,2:305-313.
  • 10Liu C,Liu G,Zhou C,et al.Potent diuretic effects of prednisone in heart failure patients with refractory diuretic resistance.Can J Cardiol,2007,23:865-868.

同被引文献333

引证文献51

二级引证文献310

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部