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目的 探讨感染与低血钾性麻痹之间的关系及其临床特点。方法 对本组 34例及国内文献报道的 1 1 5例低血钾性麻痹的病例进行感染过程、临床表现、血钾、肌酶、电生理及病毒学检测结果的系统分析。结果 发现各类报道病例间的临床表现及对本病的命名不一致 ,病毒感染缺乏确切依据。本病的典型表现为在感染过程中发生的四肢急性迟缓性瘫痪 ,伴低血钾 ,无神经系统其他损害的表现 ,预后良好 ,多数不再复发。结论 目前尚缺乏足够证据确定本病为一独立的疾病单元。命名以“伴感染性低血钾性麻痹”较为恰当。可能是一组有遗传易感基础 ,易在感染过程中发病的综合征
Objective To investigate the relationship between infection and hypokalemia paralysis and its clinical features. Methods The infection process, clinical manifestations, serum potassium, muscle enzymes, electrophysiology and virological test results were systematically analyzed in 34 cases of this group and 115 cases of hypokalemia paralysis reported in the domestic literature. The results found that the clinical manifestations of various reported cases and the name of the disease is inconsistent, the lack of an accurate basis for the virus infection. The typical manifestation of this disease occurs in the process of acute extremities paralysis of acute delay, with hypokalemia, no other damage to the performance of the nervous system, the prognosis is good, the majority no longer relapse. Conclusions At present, there is not enough evidence to confirm this disease as an independent disease unit. Named “with infectious hypokalemic paralysis” is more appropriate. May be a group of genetic predisposition, susceptible to the onset of the disease in the process of infection syndrome