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国内报道,甲状腺机能亢进(甲亢)合并周期性麻痹占甲亢病例的3％左右。我院1992年6月～2001年6月收治了12例。 1,对象与方法:12例占同期住院甲亢患者的3.6％(12/336)。其中男10例,女2例,年龄16～51岁。平均年龄33.5岁。4例为首次发作,8例有反复发作史。 诊断标准:出现原因不明的肢体麻痹,尤其在情绪激动或高糖膳食后症状加重者。有甲亢病史及伴有甲亢表现者,常有轻、中度伸肌软弱,血清三碘甲状腺原氨酸、甲状腺素升高,低钾血症,肌电图显示低动作电位,同时除外家族性周期性麻痹、原发或继发性醛固酮增多所致低钾性麻痹即可诊断。
Domestic reports, hyperthyroidism (hyperthyroidism) with periodic paralysis accounted for about 3% of cases of hyperthyroidism. Our hospital from June 1992 to June 2001 admitted 12 cases. 1, objects and methods: 12 cases accounted for 3.6% (12/336) of patients with hyperthyroidism in the same period. Including 10 males and 2 females, aged 16 to 51 years. The average age is 33.5 years old. 4 cases for the first attack, 8 cases have recurrent history. Diagnostic criteria: Paralysis of unexplained limbs, especially if the symptoms worsen after agitation or high-sugar diet. Have a history of hyperthyroidism and those with hyperthyroidism performance, often light, moderate extensor muscle weakness, serum triiodothyronine, thyroid hormone increased, hypokalemia, EMG showed low action potential, while excluding familial Periodic paralysis, primary or secondary aldosteronism caused by hypokalemia paralysis can be diagnosed.