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报告33例慢性乙肝患者血浆血管紧张素Ⅱ(AT-Ⅱ)和醛固酮测定的结果。慢性迁延性肝炎和慢性活动性肝炎稳定期血浆(AT-Ⅱ)与正常对照没有差别,醛固酮比正常值增加2倍以上,无腹水的肝硬化病人AT-Ⅱ正常,而醛固酮比正常对照高2倍以上。有腹水的肝硬化病人AT-Ⅱ、醛固酮均较对照增高5倍以上。25例慢性乙肝患者于速尿激发后AT-Ⅱ水平显著增高。以上结果提示腹水形成与有效血容量降低及肾素、AT-Ⅱ和醛固酮系统(RAAS)兴奋有关,故肝硬化失代偿期应用强利尿剂要有限量,以免造成严重后果。
Report of 33 cases of chronic hepatitis B patients with plasma angiotensin Ⅱ (AT-Ⅱ) and aldosterone determination results. The chronic persistent hepatitis and chronic active hepatitis with stable phase plasma (AT-Ⅱ) no difference from the normal control, aldosterone increased more than 2 times the normal, ascites cirrhosis patients AT-Ⅱ normal, and aldosterone than the normal control 2 Times more. Patients with cirrhosis with ascites AT-Ⅱ, aldosterone were increased more than 5 times higher than the control. 25 cases of chronic hepatitis B patients with furosemide stimulation AT-Ⅱ levels were significantly higher. The above results suggest that the formation of ascites and effective blood volume decreased and renin, AT-Ⅱ and aldosterone system (RAAS) excited, so the application of strong diuretic cirrhosis decompensation should be limited, so as to avoid serious consequences.