浮肿是肾病综合征患者的最突出体征和最苦恼症状。对其处理常采用中度限盐饮食或利尿。若高度浮肿且对此治疗发生抵抗,则可联合使用静脉输注血浆或白蛋白及“袢”利尿剂。但是,强力利尿剂治疗期中可能出现低血钠症,严重时尚可减低下一步利尿治疗的效果。而且,强力利尿致血容量减少可引起心排出量和血压下降。已有报道出现低血压甚至休克的。 Edema is the most prominent symptom and the most distressing symptom in patients with nephrotic syndrome. Often used to deal with moderate salt diet or diuretic. If the highly edema and resistance to treatment, you can use a combination of intravenous infusion of plasma or albumin and “袢” diuretics. However, hyponatremia may occur during the intensive diuretic treatment, and serious fashion can reduce the effect of the next diuretic treatment. Moreover, strong diuresis caused by reduced blood volume can cause decreased cardiac output and blood pressure. Hypotension and even shock have been reported.