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王××,男性,21岁,未婚,工人,于1979年4月14日因两下肢反复发作性轻瘫5年而入院。患者自幼感头昏、乏力、烦渴、多尿、夜尿、嗜盐食,偶有昏厥,近5年来曾4次发作性两下肢轻瘫,每次持续数日而自愈。入院前有发热、咳嗽、乏力,一周后两下肢不能站立,当时查血钾2毫当量/升,心电图示低钾改变,经静脉补钾后无明显好转。过去无结核、肾炎、心脏病、慢性腹泻及呕吐病史,亦无服利尿剂史。19岁时性才发育。父母健在,有一兄患“精神病”。体检:瘦小体型,智力正常,身高163厘米,体重40公斤,血压110/80毫米汞柱,心脏听诊偶闻早搏,两肺未发现异常。腹软,肝、脾
Wang XX, male, 21 years old, single, worker, was admitted to hospital on April 14, 1979 for five years with recurrent paralysis of both lower extremities. Patients with early childhood dizziness, fatigue, polydipsia, polyuria, nocturia, halophilic food, occasional syncope, the past 5 years had 4 episodes of both lower extremity paresis, each lasting several days and self-healing. Before admission, fever, cough, fatigue, two weeks after the lower limbs can not stand, then check the potassium 2 milliequivalents / liter, ECG showed hypokalemia, no significant improvement after intravenous potassium. In the past no tuberculosis, nephritis, heart disease, history of chronic diarrhea and vomiting, but also no history of diuretics. Sexual development at age 19. Healthy parents, a brother suffering from “mental illness.” Physical examination: thin body type, normal intelligence, height 163 cm, weight 40 kg, blood pressure 110/80 mm Hg, cardiac auscultation premature beat, two lungs found no abnormalities. Abdominal soft, liver, spleen