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患者 女,47岁。半年来多次因饮食不洁或着凉出现腹痛、腹泻,随之出现周身乏力,严重时出现四肢软瘫,曾疑为“中风”予中药及针灸等治疗。3天前,因食不洁食物再次出现腹泻,伴四肢不能活动。本院急查血钾为1.5mmol/L,遂以“低钾待查”收入院。既往有两眼发涩,口干燥病史。否认肝炎、结核病、慢性泌尿系感染、关节疼痛病史。无过期四环素用药史。查体:血压13.33/9.33kPa。发育正常,营养
Patient female, 47 years old. In the past six months, abdominal pain and diarrhea frequently occur due to unclean diet or coldness, followed by generalized fatigue. In severe cases, limb paralysis has been suspected. It was suspected to have been treated as “stroke” for traditional Chinese medicine and acupuncture. 3 days ago, diarrhea again due to food unclean food, with limbs can not be active. The hospital acute check serum potassium 1.5mmol / L, then “low potassium to be investigated” income hospital. Past two eyes astringent, dry mouth history. Denied hepatitis, tuberculosis, chronic urinary tract infections, history of joint pain. No history of tetracycline medication. Physical examination: blood pressure 13.33 / 9.33kPa. Normal development, nutrition