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唐某,女性,36岁。食欲不振、呕吐、腹泻1周。1980年1月15日晨起时四肢酸软,不能站立,于当日上午11时入院。无甲状腺肿大及甲状腺机能亢进病史。家族中也无类似病史,患病期间未发现其它低血钾病人。查体:体温35.8℃,脉搏52次,血压120/80。心律整齐,心率52次。双下肢肌力0级,膝反射明显减弱。心电图Ⅰ、Ⅲ、V_3、V_5出现 U 波。诊断为低血钾性周期性麻痹。每日给予10%氯化钾60
Tangmou, female, 36 years old. Loss of appetite, vomiting, diarrhea 1 week. January 15, 1980 morning when the limbs ache, can not stand, at 11 am on the day of admission. No history of goiter and hyperthyroidism. There was no similar history in the family and no other patients with hypokalemia were found during the illness. Physical examination: body temperature 35.8 ℃, pulse 52 times, blood pressure 120/80. Tidy rhythm, heart rate 52 times. Lower limb muscle strength 0, knee reflex significantly weakened. Electrocardiogram Ⅰ, Ⅲ, V_3, V_5 appear U wave. Diagnosis of hypokalemic periodic paralysis. Daily 10% potassium chloride 60