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本文对40例周期性麻痹患者的年龄、发作诱因、时间、频率及临床症状和体征、治疗和预后等进行分析,提出本病仍以年青人为多,饱餐后发病9例占22%,而反复发作人数仅6例占15%。临床体征经四肢瘫为主,但少数病例出现肢体远端感觉障碍,双上肢或双下肢瘫,球麻痹等不常见症状,这可能是造成误诊的因素。尽管血钾降低程度与病程轻重无比例关系,但40例中低血钾者33例占82%,故应及早作血钾检查。治疗上宜口服钾盐为主,对疗效较差者,应注意是否合并甲亢。
In this paper, 40 patients with periodic paralysis age, the cause of attack, time, frequency and clinical symptoms and signs, treatment and prognosis were analyzed, the disease is still young and more, after the meal nine cases accounted for 22% of cases, and repeated The number of attacks accounted for only 6 cases accounted for 15%. Clinical signs of quadriplegia based, but a few cases of limb distal sensory disturbances, double or lower limb paralysis, paralysis of the ball and other common symptoms, which may be misdiagnosed factors. Although the degree of reduction of serum potassium and the severity of the disease is not proportional, but 33 cases of 40 cases of hypokalemia accounted for 82%, it should be as early as potassium test. Treatment should be based on oral potassium, less effective, should pay attention to whether combined with hyperthyroidism.