论文部分内容阅读
甲状腺机能亢进(以下简称甲亢)并发周期性麻痹已众所周知,但甲亢周期性麻痹并发低钾肌病则甚为少见。作者经验1例,报告如下: 患者 男,32岁。1984年3月初觉左下肢抬步乏力,二周后行走艰难,不能上楼,左上肢亦持物无力,且进行性加重。4月12日晚,突然发生四肢无力,不能动弹,两小腿肌肉酸痛。次晨自行缓解。此后,类似发作十余次。每次发作持续1～2日而自行缓解。疲劳、受凉易诱发。自发病后,多食善饥而渐消瘦,性格亦较病前急躁。体检:全身消瘦。行走时左下肢拖步。两眼球外突、炯炯有光。甲状腺未扪
Hyperthyroidism (hereinafter referred to as hyperthyroidism) complicated by periodic paralysis has been well known, but hyperthyroidism complicated by periodic paralysis and hypokalemia is very rare. The author’s experience in 1 case, the report is as follows: Male patient, 32 years old. In early March 1984 left lower limb lift step fatigue, two weeks after walking difficult, can not go upstairs, also left the upper limb weakness, and progressive increase. The evening of April 12, sudden limb weakness, unable to move, two calf muscle soreness. The next morning to ease. Since then, a seizure more than ten times. Each episode lasts 1 to 2 days and relieve itself. Fatigue, easy to induce cold. Since onset, eat more hungry and weight loss, personality is also more impatient than the disease. Physical examination: body weight loss. Walking left leg drag. Out of two eyes, bright. Thyroid not palpable