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近几年,不断有肾小管酸中毒(RTA)报道,但不完全性远端RTA的报道少见.现报告一例如下.男,32岁,住院号2756.患者1979年起感双下肢无力、麻木、反复发作.今年5月起症状加重,曾于5月28日,7月2日,8月4日以双下肢乏力、麻木(第一次有瘫痪)在宜昌×医院、自治州×医院和本院住院三次.前两次查血及EKG提示低K,均诊断为周期性麻痹,每经KCI等治疗于病情缓解后出院.住本院时,查血K~+2.08～3.2mE9/1,Na~+,Cl~-,Ca~(++) ,BuN均止常,Co_2cp42.6Vol/dl.三次成常规检查,两次沉渣含少量白细胞,蛋白(-),尿PH6.7,尿培养(-),psp10%/2hr.肝功能正常,HB
In recent years, there have been reports of renal tubular acidosis (RTA), but incomplete report of distal RTA rare .Now reported as an example .Male, 32 years old, hospital number 2756.Patients in 1979, feeling both lower limb weakness, numbness , Recurrent episodes in May this year, the symptoms worsened, had on May 28, July 2, August 4 to lower extremity weakness, numbness (paralyzed for the first time) in Yichang × Hospitals, Autonomous Prefecture × Hospital and this The hospital was hospitalized three times.The first two times to check the blood and EKG prompts low K, were diagnosed as periodic paralysis, each treated by KCI and other conditions after the discharge was discharged .In this hospital, check blood K ~ + 2.08 ~ 3.2mE9 / 1, The contents of Na ~ +, Cl ~ -, Ca ~ (++) and BuN were all normal and Co_2cp42.6Vol / dl was three times routine examination. The two sediments contained a small amount of white blood cells, protein (- (-), psp10% / 2hr. Normal liver function, HB