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患者男,46岁.因肝硬化腹水入院.入院后服保肝及维生素类等药治疗,腹水增多,尿少,下肢浮肿,而给予双氢克尿塞50mg口服.服药后尿量增加,并出现尿频,尿急,排尿时尿道烧灼样疼痛,停药后此状消失.2日后又服此药,上述症状复现,尿常规无异见.改为安体舒通40mg口服,亦有尿道刺激症状.查尿道外口处无红肿,但拒触摸,再查尿道正常,而停药,症状消失.改为速尿口服后则无上述症状.
Male, 46 years old, was hospitalized with ascites due to cirrhosis of the liver and was admitted to hospital with liver and vitamins, ascites, oligohydramnios and lower extremity edema, and received 50 mg of hydrochlorothiazide. Urgency, urination, urinary tract burning like pain, stop the symptoms disappear after 2 days and then take the drug, the above symptoms recurrence, no difference in urine routine.And spironolactone 40mg orally, there are urethral irritation. Urethra outside the mouth no swelling, but refused to touch, check the urethra normal, and withdrawal, the symptoms disappear changed to furosemide after oral administration without the above symptoms.