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病历摘要 患者,男性,23岁,工人。因反复四肢抽搐、乏力9年,于1977年4月10日步行入院。 患者于1977年受凉发热后突起四肢屈曲性抽搐,持续约20分钟自行缓解,抽搐时意识清楚,抽搐后感胸闷、四肢乏力。以后多次于发热、劳累后有类似的发作,1980年后加重致发作时无力步行、持物。多次检查血清钾低;脑脊液常规、生化正常;血压正常。每次发作时间用钙剂、镁剂治疗均无效,而补充氯化钾后,症状能很快控制。
Patient summary, male, 23 years old, worker. Due to repeated limbs convulsions, fatigue for 9 years, on April 10, 1977 walking admission. Patients with cold and fever in 1977 after the sudden emergence of flexion and limb flexion, sustained about 20 minutes to ease itself, convulsions clear consciousness, convulsions, chest tightness, weakness limbs. Subsequent times in the fever, tired after a similar attack, aggravating after the attack in 1980 when unable to walk, hold things. Multiple checks of serum potassium low; cerebrospinal fluid routine, normal biochemical; normal blood pressure. Each attack time with calcium, magnesium treatment were ineffective, and potassium chloride supplementation, the symptoms can be quickly controlled.