摘要
本文报告3例低钾性周期性麻痹引起的呼吸肌麻痹。2例诊断为散发性低钾性周期性麻痹,1例诊断为甲状腺功能亢进合并低钾性周期性麻痹。鉴于中国和日本的甲亢患者合并本病者远较西方国家为多,建议中年男性首发低钾性周期性麻痹患者应检查甲状腺功能。凡有呼吸肌麻痹的病人,应急查血钾和心电图,在结果未回报前,凡疑似本病者应慎用高渗葡萄糖或含胰岛素的能量合剂。一旦出现呼吸困难的迹象,应及早做气管切开和使用人工呼吸机,这是抢救成功的关键。
Three patients of hypokalemic periodic paralysis associated with respiratory embarrassment were reported. Two of them were diagnosed as sporadic hypokalemic periodic paralysis and one thyrotoxicosis with hypokalemic periodic paralysis. Owing to the incidence of thyrotoxicosis with hypokalemic periodic paralysis in China and Japan was higher than that in western countries, thyroid function has to be investigated in middleaged male patients with the first attack of hy pokalemic periodic paralysis. Blood potassium and ECG examinations must be done in all patients with paralysis of the respiratory muscles seen in the emergency room, and before the reports come back, hypertonic glucose and insulin contained tonic mixture should be avoided. Once the evidence of respiratory difficulty appeared,tracheotomy and mechanical ventilation should be performed as early as possible.
出处
《北京医学》
CAS
北大核心
1989年第5期284-286,共3页
Beijing Medical Journal
