高血钾性软瘫最常见的原因是无尿性肾功能不全、肾上腺机能不全、钾盐摄取过剩以及应用安体舒通不当。本文报告一例罕见的外伤性膀胱破裂后迅速发生的四肢软瘫。患者男性38岁,以四肢软瘫入院。既往无神经肌肉疾病史。因酗酒后,被人殴打其面部、腹部和背部。翌晨出现双下肢不能活动,并有下腹痛,排少量血尿,未经任何治疗休息5天,症状改善,能自己行走。入院前一天晚上又饮酒,半小时后双下肢无力加重,上肢也出现力弱。翌晨起四肢不能活动,呼吸困难,手脚感觉异常。查体:T36.5℃,P60次/分节律不整,血压84/54mmHg。心肺无异常。腹不胀有轻度触痛。四肢完全瘫痪,抬头困难,轻度而瘫,腱反射消失。感觉无异常。经导尿放出血尿2,300ml。血清钾8.7mmol/l、氯 The most common cause of hyperkalemic soft paralysis is anuria renal insufficiency, adrenal insufficiency, excess potassium intake and spironolactone inappropriate. This article reports a case of extremity palsy that occurs immediately after a rare traumatic bladder rupture. Male, 38, was admitted to hospital with soft-limbed limbs. No previous history of neuromuscular diseases. After drinking alcohol, he was beaten on his face, abdomen and back. The next morning there can be no activity of both lower extremities, and lower abdominal pain, row of small hematuria, without any rest for 5 days, the symptoms improved, able to walk on their own. The night before admission to drink again, half an hour after the lower extremities weakness, upper limbs also appear weak. Morning limbs can not move, breathing difficulties, hands and feet feel abnormal. Physical examination: T36.5 ℃, P60 times / min irregular rhythm, blood pressure 84 / 54mmHg. No abnormal heart and lung. Abdominal distention with mild tenderness. Completely paralyzed limbs, looked difficult, mild and paralyzed, tendon reflex disappeared. No abnormal feeling. Transurethral release of hematuria 2,300 ml. Serum potassium 8.7mmol / l, chlorine