With chronic severe heart failure of 12 cases of g

e707004304 · Wysłany: Sob 0:16, 19 Mar 2011

With chronic severe heart failure of 12 cases of gout

And the amount of salt . In the heart failure treatment, tend to emphasize the control of water intake ,[link widoczny dla zalogowanych], low salt diet, so that patients in a mild For patients with chronic heart failure ,[link widoczny dla zalogowanych], long-term ischemia and hypoxia , red cell hyperplasia, increased blood viscosity and increased the organization's lack of oxygen, instead of holding the uric acid from the kidneys to reduce diarrhea . c. Rational use of diuretics . In the three diuretics ,[link widoczny dla zalogowanych], increased serum uric acid based on the strength of the order of : Hydrochlorothiazide Furosemide urinary thiophene A ( furosemide ) on Spironolactone ( spironolactone ammonia ) . Therefore,[link widoczny dla zalogowanych], in patients with chronic heart failure , long-term use should be avoided in urine hydrochlorothiazide thiophene compound containing hydrochlorothiazide antihypertensive tablets and the drug in urine thiophene ,[link widoczny dla zalogowanych], it is best to use Furosemide and Spironolactone orally. Spironolactone in particular , but also intervention in the development and progression of chronic heart failure were excessive activation of the renin- angiotensin -aldosterone system of a <RAAS) in the treatment and achieved great success. Data statistics, Spironolactone in the treatment of severe chronic heart failure study, the treatment group and control group , serum uric acid measurement was no significant difference between the value of J. d. Recommended losartan ( Cozaar ). This product is a new type of angiotensin Ⅱ AT1 receptor antagonist , which in addition has anti- high blood pressure, improve heart failure , but also has a renal protective effect , increasing renal blood flow , glomerular filtration rate , increased Urine volume and urinary sodium, uric acid sample out. Information Science has reported that oral administration of losartan 50mg / d, starting from the lO -day , in the level of serum uric acid decreased significantly. _4 』 Moreover, 25% of hypertensive patients have different levels of blood uric acid levels increased. 5J Therefore, this drug especially for high blood pressure in patients with chronic heart failure . In short, anti- heart failure with standard triple therapy ( enalapril 10-20nd, furosemide 20-100mg / d, no contraindications were digoxin O.125-0.25 Ⅱ d) the use of heart failure patients Life can be extended. But how to control hyperuricemia and improve the quality of life, deserves our attention.