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例1,男性,18岁,发作性四肢瘫痪8年,本次发病半小时,于1980年3月15日入院。患者10岁起病,往往在剧烈运动后诱发,且伴有肌肉剧痛,持续1～2小时可缓解,每年发作1～2次。曾被误诊为神经官能症及肢痛型癫痫。查体:心、肺、肝、脾无异常,颅神经无损害,四肢肌力Ⅱ级,深反射消失,无感觉障碍及病理征。发作当时血钾7.8毫当量/升,心电图 T 波呈峰形增高。
Example 1, male, 18 years old, paroxysmal four limb paralysis for 8 years, the incidence of half an hour, on March 15, 1980 admitted. Patients at the age of 10 onset, often induced after strenuous exercise, and accompanied by severe muscle pain, sustained 1 to 2 hours can ease, attack 1-2 times a year. Have been misdiagnosed as neurosis and pain-type epilepsy. Physical examination: heart, lung, liver and spleen were normal, no damage to the cranial nerves, muscle strength Ⅱ limbs, deep reflex disappeared, no sensory disturbances and pathological sign. Attack episodes of potassium 7.8 milliequivalents / liter, ECG T wave was increased peak shape.