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患者男性,40岁,突然四肢无力且进行性加重1天于1993年6月18日入院。检查:呼吸较急,神志清楚,四肢肌力0～Ⅰ级,心率110次/分,血压正常,头颅CT未见异常,心电图示低钾,血清钾1.7mmol/L。既往有可疑甲亢病史,其亲兄患有甲亢病且在1年前有类似发作病史在外院住院诊断为“甲亢合并周麻”。本例初诊为周瘫,治疗予4‰氯化钾持续静滴,7小时共补钾7g,患者无好转而出现呼吸困难,唇指发绀,神情幌惚,考虑有低钾危象,呼吸肌麻痹故加大补钾浓度(6‰),行机械通气,经2小时快速补钾共5g
Male patient, 40 years old, suddenly extremity weakness and progressive exacerbations One day was admitted on June 18, 1993. Check: breathing more acute, conscious, limb muscle strength 0 ~ Ⅰ level, heart rate 110 beats / min, normal blood pressure, cranial CT showed no abnormalities, ECG showed potassium, potassium 1.7mmol / L. Past history of suspicious hyperthyroidism, his dear brother suffering from hyperthyroidism and a history of similar attacks in a year ago hospitalized in the outer hospital diagnosed as “hyperthyroidism combined with Zhou Ma.” This case of newly diagnosed cases of peripheral paralysis, treatment to 4 ‰ potassium chloride continued intravenous infusion, 7 hours total potassium 7g, patients with dyspnea and difficulty breathing, cyanotic lip, look stupor, consider a low-potassium crisis, respiratory muscle Paralysis so increase potassium concentration (6 ‰), mechanical ventilation, rapid potassium 2 hours after a total of 5g