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我院自1974年3月至1977年3月收治原发性肾小管性酸中毒4例,现结合有关资料报道如下。病例介绍[例1]李姓,女,11岁,住院号74-954,于1974年3月24日入院。患儿有周期性全身性瘫痪4年,近年来发作频繁。一年来胃纳差,口渴多饮,日饮水量约6000毫升,伴多尿。在外院曾诊断为低钾性周期性麻痹,每次发作瘫痪用氯化钾治疗1～2天后即可恢复。亦曾被诊断为尿崩症,用尿崩停治疗无效。无家族史。入院体检:发育营养差,体重18.5公斤,身长116厘米,面色苍黄。检验结果见附表。长骨X线摄片示佝偻病改变。
Our hospital from March 1974 to March 1977 admitted to primary renal tubular acidosis in 4 cases, are now combined with the relevant information reported below. Case description [Example 1] Lee surname, female, 11 years old, hospital number 74-954, was admitted to hospital on March 24, 1974. Children with periodic systemic paralysis for 4 years, frequent seizures in recent years. One year to poor appetite, thirst and more drink, daily drinking water about 6000 ml, with polyuria. The hospital has been diagnosed as hypokalemic periodic paralysis, paralysis of each attack with potassium chloride treatment can be recovered after 1 to 2 days. Has also been diagnosed as diabetes insipidus, with urinary collapse insomnia treatment ineffective. No family history. Admission medical examination: development of poor nutrition, weight 18.5 kg, length 116 cm, pale yellow. Test results see Schedule. Long bone radiography showed rickets changes.