甲状腺机能亢进症(甲亢)伴发周期性麻痹虽不多觅,但为熟知的临床综合征,可以危及生命。其发生机理未明,但认为与低血钾有关。近10年来注意力袋中到肾上腺素能神经与甲亢的关系。特别是肾上腺素能乙型(β)阻断药如心得安曾用于改善甲亢症状如心动过速、肌震颇等。本文报告3例印第安人男性及1例俄罗斯白种犹太人男性,甲亢伴发周期性麻痹。其中印第安人及白人各1例原来每日或每周发生四肢的软性麻痹,持续3～8小时,进食糖类及酒可诱发。用心得安每6小时口服40毫克。可以防止早晨麻痹及防止食葡萄糖诱起发作。以后继续服用,直至其甲亢经其他综合措施充分控制为止。此2例用心得 Hyperthyroidism (Hyperthyroidism) associated with periodic paralysis Although not much sought, but for the well-known clinical syndrome, can be life-threatening. Its mechanism is unknown, but that hypokalemia. In the past 10 years, attention to the relationship between the adrenergic nerve and hyperthyroidism. In particular, adrenergic beta (beta) blockers such as propranolol have been used to improve hyperthyroidism symptoms such as tachycardia, muscle shock quite. This article reports three Indian men and one Russian Caucasian Jewish male with hyperthyroidism associated with periodic paralysis. One case of Indians and whites each had daily or weekly soft limb paralysis, sustained 3 to 8 hours, eating sugars and alcohol can be induced. In peace of mind every 6 hours orally 40 mg. Prevent paralysis in the morning and prevent glucose-induced seizures. Continue taking it until the hyperthyroidism is fully controlled by other comprehensive measures. This 2 cases with experience