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目的:探讨低血钾瘫痪的临床原因和治疗。方法:随机抽取2014年4月至2015年8月该院收治的28例低血钾瘫痪患者作为研究对象,采用回顾分析法,对低血钾瘫痪的常见病因、治疗及预后进行分析。结果:男22例,女6例,诊断为甲亢合并周期性麻痹20例,病因不明4例。发作时均有不同程度的双下肢或四肢软瘫,伴有血钾降低。结论:低血钾瘫痪以年轻男性多发,补钾治疗可迅速改善症状,抗甲状腺治疗是控制甲亢低血钾瘫痪复发的关键。
Objective: To investigate the clinical cause and treatment of hypokalemia paralysis. Methods: Totally 28 patients with hypokalemia and paralysis admitted in our hospital from April 2014 to August 2015 were selected as the research objects. The causes, treatment and prognosis of hypokalemia were analyzed retrospectively. Results: 22 males and 6 females were diagnosed as hyperthyroidism with periodic paralysis in 20 cases and etiology in 4 cases. Both episodes of varying degrees of both lower limbs or limbs, paralysis, accompanied by decreased serum potassium. Conclusion: Hypokalemic paralysis occurs frequently in young men. Treatment with potassium can rapidly improve the symptoms. Anti-thyroid treatment is the key to control recurrence of hyperthyroidism and hypokalemia.