摘要
目的探讨低钾型周期性瘫痪(HOPP)的临床表现和治疗特点。方法回顾60例HOPP的临床资料。结果在60例HOPP的病例中,48例血清肌酶升高;24例EKG正常;21例主观感觉异常;8例查体感觉有异常;7例肌张力增高;4例单侧肢体肌无力明显;3例单侧下肢无力;2例双侧Babinski(+);1例出现呼吸肌麻痹。结论在HOPP的患者中,并非全有典型的临床表现,应注意其非典型表现和治疗特点,及时补钾治疗和病因治疗。
Objective To explore the clinical situation and therapy of hypokalemic periodic paralysis(HOPP). Methods Retrospective analysis of the clinical data of 60 patients with HOPPwas made. Results 60 patients with HOPP were analyzed. Blood serum creatase of 48 patients rise ; The EKG of 24 patients were normal; The subjective sensation of 21 patients was abnormal; 8 patients were searched paresthesia; The muscular tension of 7 patients was intensive; The simplex extremity amyosthenia of 4 patients was transparent; Only one lower extremity of 3 patients was paralyzed;2 patients'di-Babinski sign was shown; One patient appeared breath muscle paralysis. Conclusion Not all the patients with HOPP are typical clinical situation. We must carefully find out its atypical clinical situation and therapy method for early supplying potassium salt and etiological factor therapy.
出处
《基层医学论坛》
2005年第6期504-505,共2页
The Medical Forum
