会导致高钾血症的利尿剂

来自罗莉医生的专业解答，快打开看看是否又获得了新的知识点～

https://m.baidu.com/bd_page_type=1/baiduid=F34B44010EE67134BC3F1F88DCFCF247/t=mip/tc?ct=54&lid=32702385103091&module=mip&cst=91&clk_extra=%7B%22pageid%22%3A%2232702385103091%22%2C%22searchID%22%3A%2232702385103091%22%2C%22nPageID%22%3A%2232702385103091%22%2C%22mip_logid%22%3A%2232702385103091%22%2C%22masterpage_type%22%3A%22self%22%2C%22originalUrl%22%3A%22https%3A%5C%2F%5C%2Fmip.3zhijk.com%5C%2Fdoctor%5C%2Fmip%5C%2Fmip_question%5C%2F6240514f97ef79a504747ea7f63b380a.html%22%2C%22srcid%22%3A%22landingpage%22%2C%22name%22%3A%22A%5Cu533a%5Cu6b63%5Cu6587%5Cu6298%5Cu53e0%22%2C%22id%22%3A%22expand_content%22%7D&tcreq4log=1

https://m.baidu.com/bd_page_type=1/baiduid=F34B44010EE67134BC3F1F88DCFCF247/t=mip/tc?ct=54&lid=32702385103091&module=mip&cst=112&clk_extra=%7B%22pageid%22%3A%2232702385103091%22%2C%22searchID%22%3A%2232702385103091%22%2C%22nPageID%22%3A%2232702385103091%22%2C%22mip_logid%22%3A%2232702385103091%22%2C%22masterpage_type%22%3A%22self%22%2C%22originalUrl%22%3A%22https%3A%5C%2F%5C%2Fmip.3zhijk.com%5C%2Fdoctor%5C%2Fmip%5C%2Fmip_question%5C%2F6240514f97ef79a504747ea7f63b380a.html%22%2C%22srcid%22%3A%22landingpage%22%2C%22name%22%3A%22A%5Cu533a%5Cu6b63%5Cu6587%5Cu4e0b%5Cu65b9%5Cu4e2d%5Cu95f4%5Cu5c55%5Cu5f00%5Cu6309%5Cu94ae%22%2C%22id%22%3A%22new_expand_content%22%7D&tcreq4log=1

三知健康

病情分析：可以导致高钾血症的利尿剂，一般为保钾利尿药，比如螺内酯、氨苯蝶啶等。1、螺内酯：结构类似于醛固酮，是醛固酮的竞争性抑制剂，可以阻断钠离子与钾离子、钠离子与氢离子的交换，使得水和钠离子的排泄增多，而钾离子的排泄减少，长期应用可导致高钾血症。2、氨苯蝶啶和阿米洛利：是直接抑制了肾脏远端小管和集合管的钠离子与钾离子的交换，从而使水和钠离子的排泄增多，钾离子的排泄减少。氨苯蝶啶和阿米洛利的保钾作用比螺内酯弱，但是还是要注意用药期间出现高钾血症。

罗莉

主任医师

提示：本内容仅作参考，不能代替面诊，如有不适请尽快线下就医

问题描述：我的亲戚最近比较困扰，想了解一下会导致高钾血症的利尿剂是什么？谢谢帮助。