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患者,女性,42岁,3年前因泌尿系感染伴休克入院,后经检查确诊为右肾盂与输尿管结石并行右肾盂切开取石术。术中并见肾盂积水。术后20多天出现两下肢乏力,查血钾2.5mEq/L,补钾恢复至4.5mEq/L,症状缓解出院。此后先后发作5次,严重时四肢软瘫并神志恍惚,诊为“低血钾性麻痹”,每次均予补钾后好转。近年来经常关节酸痛,查类风湿因子阳性而诊为“类风湿性关节炎”。此次入院(1982年8月21日)前2天两下肢又不能站立,随后四肢软瘫,查血钾1.5mEq/L,BUN22mg%、CO_2CP39Vol%,EKG示ST、T异常,有U波及频发室早,即予静脉
The patient, female, 42 years old, was admitted to hospital with a urinary tract infection three years earlier and was diagnosed as a right pelvis and ureterolithotomy with right pelvic incision and lithotomy after examination. Intraoperative and see hydronephrosis. More than 20 days after the emergence of two lower extremity fatigue, check potassium 2.5mEq / L, potassium recovery to 4.5mEq / L, relieve symptoms discharged. Since then attacked 5 times, severe limbs paralysis and delirium, diagnosed as “hypokalemic paralysis”, each time after potassium to improve. In recent years, often joint pain, check the rheumatoid factor positive and diagnosed as “rheumatoid arthritis.” The hospital admission (August 21, 1982) two days before the two legs can not stand, then limbs paralyzed, check serum potassium 1.5mEq / L, BUN22mg%, CO_2CP39Vol%, EKG showed ST, T abnormalities, U wave and frequency Hair room early, that is, to the vein