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目的了解甲亢性周期性麻痹特点。方法对3a来急诊科收治105例甲亢性周期性麻痹139次发作分析。结果甲亢性周期性麻痹占同期周期性麻痹患者的42.5%,以20～40岁青壮年男性居多,有时为甲亢的首发症状,多数有甲亢病史或高代谢征或甲状腺肿大,一半血糖升高或存在高胰岛素血症,与甲亢病情轻重不成比例,抗甲状腺治疗可防止甲亢性周期性麻痹复发。结论甲亢性周期性麻痹发病率高,有时为甲亢的首发症状,诊治不能仅限于低钾血症。
Objective To understand the characteristics of cyclical paralysis of hyperthyroidism. Methods One hundred and thirteen episodes of 105 cases of hyperthyroidism periodic paralysis were admitted to the emergency department of 3a. Results Hyperthyroidic periodic paralysis accounted for 42.5% of patients with periodic paralysis in the same period, mostly young men and women aged 20-40 years, sometimes the first symptom of hyperthyroidism, most had hyperthyroidism or high metabolic syndrome or goiter, half of the blood sugar increased Or the presence of hyperinsulinemia, hyperthyroidism and severity of the disproportionate, anti-thyroid treatment can prevent recurrent hyperthyroidism periodic paralysis. Conclusion The incidence of hyperthyroidism periodic paralysis is high, sometimes the first symptom of hyperthyroidism, diagnosis and treatment can not be limited to hypokalemia.