以低钙抽搐入院的原发性醛固酮增多症1例

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患者,女,51岁,因四肢乏力半年,抽搐2d入院。患者半年前开始出现反复四肢乏力,伴有全身麻木,2d前再次出现四肢乏力,伴手指麻木,后出现双手指持续性抽搐,伴全身发硬,无意识不清、口吐白沫,无大小便失禁。送入我院急诊,查血钾1.31mmol/L,钙1.77mmol/L,镁1.05mmol/L,收入我科。患者既往有高血压病史2年,血压最高190/100mmHg(1mmHg=0.133kPa),血压升高 The patient, female, 51 years old, was hospitalized for 2 days because of weakness in the limbs for 2 years. Patients began to appear repeatedly six months ago, limb weakness, accompanied by general numbness, reappearance of limbs 2d before fatigue, with numbness fingers, followed by two fingers with persistent convulsions, with stiff hair, unconsciousness, foaming at the mouth, no urine incontinence. Into our hospital emergency, check serum potassium 1.31mmol / L, calcium 1.77mmol / L, magnesium 1.05mmol / L, income in our department. The patient had a history of 2 years of history of hypertension, the highest blood pressure 190 / 100mmHg (1mmHg = 0.133kPa), elevated blood pressure
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