临床上应用利尿剂可引起钾的丢失,为人们所熟知,导致高钾血症者,尚未引起应有的重视。现报告1例如下。 病例报告:王某,男性,20岁,于1983年6月1日入院。诊断为慢性活动性肝炎并原发性腹膜炎。除抗感染和输新鲜血二次外,6月5日开始加用安体舒通20mg每天二次,氨苯喋啶50mg每天二次。6月9日原发性腹膜炎基本控制,但肝病恶化,病人进入肝昏迷前期,测血钾4.3mEq/L,因尿多,加用氯化钾1g Clinical use of diuretics can cause the loss of potassium, is well known, leading to hyperkalemia who has not yet caused due attention. One report is as follows. Case report: Wang, male, 20 years old, was admitted on June 1, 1983. Diagnosis of chronic active hepatitis and primary peritonitis. In addition to anti-infection and lose new blood two times, beginning June 5 plus spironolactone 20mg twice daily, triamterene 50mg twice daily. June 9 basic control of primary peritonitis, but the deterioration of liver disease, patients into the pre-hepatic coma, measured potassium 4.3mEq / L, due to more urine, plus potassium chloride 1g