甲状腺功能亢进性肌病(简称甲亢性肌病)常以肌病为主要表现,易误诊,也易与各型肌病混淆。现将我院收治的甲亢合并肌病69例临床类型及其特点分析如下。 临床类型及其特点 一、周期性麻痹型 此型最常见,本组中有30例,占43.5％。其临床表现与一般周期性麻痹类似:发作性肌力减弱、膝反射减低、血清钾多数降低,少数可正常。发作前常有摄取过多糖类、过度疲劳等诱因。它与家族性周围性麻痹不同之处是:后者多有家族史,发病年龄多在16岁以前,甲亢控制后不见缓解。 二、重症肌无力型 此型较少见,本组中 Hyperthyroidism myopathy (referred to as hyperthyroidism myopathy) often myopathy as the main performance, easy to misdiagnosis, but also easy to confuse with various types of myopathy. Now my hospital admitted hyperthyroidism myopathy 69 cases of clinical types and characteristics are as follows. Clinical types and characteristics of a cyclical paralysis This type is the most common in this group of 30 cases, accounting for 43.5%. Its clinical manifestations and general periodic paralysis is similar to: weakened onset of muscle weakness, reduced knee reflex, most of serum potassium decreased, a few can be normal. Before the attack often over-intake of sugars, excessive fatigue and other incentives. It is different from the familial peripheral paralysis is: the latter more family history, age at onset more than 16 years of age, no control of hyperthyroidism after the relief. Second, myasthenia gravis This type is less common in this group