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目的探讨以低钾性周期性麻痹为首诊的甲状腺功能亢进(甲亢)误诊原因。方法 24例以周期性麻痹为首诊的甲亢患者,分析发病特点,误诊原因及治疗过程。结果本组24例患者均以低钾性周期性麻痹为首诊,初诊均追查病因,以至误诊为单纯型周期性麻痹;最终确诊为甲状腺功能亢进合并低钾性周期性麻痹,给予抗甲亢治疗后随访0.5~1年低血钾性麻痹未见反复。结论本组病例均以低钾性麻痹为首诊,较容易误诊,所以在治疗低钾性麻痹的同时应急查甲功、复查血电解质以指导诊断和治疗,以免误诊。确诊甲状腺功能亢进性周期性瘫痪(TPP)后需进行抗甲亢治疗,如此才能够防止低钾性周期性麻痹反复发作。
Objective To investigate the causes of misdiagnosis of hyperthyroidism (Hyperthyroidism) led by hypokalemic periodic paralysis. Methods Twenty-four patients with hyperthyroidism who were diagnosed with periodic paralysis were analyzed for their characteristics of onset, causes of misdiagnosis and course of treatment. Results The 24 patients were hypokalemic periodic paralysis as the first diagnosis, the first visit were tracing the cause, even misdiagnosed as simple type of periodic paralysis; eventually diagnosed as hyperthyroidism with hypokalemic periodic paralysis, given anti-hyperthyroidism treatment Follow-up 0.5 to 1 year Hypokalemia did not repeat. Conclusion This group of patients were treated with hypokalemia paralysis, which is easier to misdiagnosis. Therefore, in the treatment of hypokalemic paralysis, emergency memorization of acupuncture, review of blood electrolytes to guide the diagnosis and treatment to avoid misdiagnosis. Diagnosis of hyperthyroidism after periodic paralysis (TPP) need to be anti-hyperthyroidism treatment, so as to be able to prevent recurrent hypokalemic periodic paralysis.