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目的探讨外来务工人员低血钾麻痹(HP)的特点。方法用回顾性分析结合追踪随访对102例外来务工人员低血钾麻痹患者的临床资料进行统计分析。结果外来务工人员低血钾麻痹的发病远远多于本地居民。102例低血钾麻痹患者中低钾型周期性瘫痪39例,甲亢性周期性瘫痪12例,注射葡萄糖3例,高糖饮食2例,原发性醛固酮增多症1例,肾小管酸中毒1例,应用噻嗪类利尿剂1例,使用大剂量青霉素3例,使用庆大霉素1例,胃肠道疾病5例,极大量出汗5例,摄入不足1例。结论外来务工人员低血钾麻痹患病远多于本地居民,主要疾病为低钾型周期性瘫痪,一部分原因不明,值得探讨。
Objective To investigate the characteristics of hypokalemic paralysis (HP) in migrant workers. Methods The clinical data of 102 cases of hypokalemic paralysis in migrant workers were analyzed retrospectively and combined with follow-up. Results The incidence of hypokalemic paralysis among migrant workers was far more than that of local residents. Of the 102 patients with hypokalemia and paralysis, 39 were hypokalemic periodic paralysis, 12 were hyperthyroidism with periodic paralysis, 3 were injected with glucose, 2 were hyperglycemic, 1 was primary hyperaldosteronism, and 1 was renal tubular acidosis Cases, the use of thiazide diuretics in 1 case, the use of high doses of penicillin in 3 cases, 1 case of gentamicin, gastrointestinal diseases in 5 cases, extremely sweating in 5 cases, inadequate intake of 1 case. Conclusions Migrant workers have more hypokalemic paralysis than native residents. The main disease is periodic hypoparathyroidism, which is partly unknown. It is worth discussing.