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周期性麻痹呈发作性肢体瘫痪,并有复发性。本文就我院近11年来收治的40例作一分析。1 临床资料 40例患者均为男性,年龄20~53岁,全组无家族史;17例反复发作,多数在10年以内,1例达28年。发作诱因以饱餐(25例)及疲劳为主,其次是饮酒、淋雨、受凉等。发病以夏秋较多(33例)。3例甲状腺肿大者2例突眼,作摄~(131)碘率、T_3、T_4检查诊为甲亢。40例都有发作性肢体瘫痪,多数为0~2级(30例),瘫痪一般是下胶重上肢轻,近端重远端轻。3例呼吸困难咳嗽无力;36例肢体酸困及疼痛而检查无感觉障碍;37例深反射减低或消失,40例均未引出病理征。发作时化验
Periodic paralysis was episodic limb paralysis, and recurrent. This article in our hospital nearly 11 years to treat 40 cases for an analysis. 1 Clinical data 40 patients were male, aged 20 to 53 years old, no family history of the whole group; 17 cases recurrent, most within 10 years, 1 case up to 28 years. Seizures incentives to full meal (25 cases) and fatigue-based, followed by drinking, rain, cold and so on. The incidence of summer and more (33 cases). 3 cases of goiter in 2 cases of exophthalmos, taken for ~ (131) iodine rate, T_3, T_4 examination was diagnosed as hyperthyroidism. 40 patients had episodes of paralysis of the limbs, the majority of 0 to 2 (30 cases), paralysis is generally the upper extremity of the plastic light, the proximal distal light. 3 cases of dyspnea coughing weakness; 36 cases of limb acid pain and pain without checking for sensory disturbances; 37 cases of deep reflex decreased or disappeared, 40 cases did not lead to pathological signs. Attack when the test