摘要
目的:探讨低钾型周期性麻痹(HOKPP)的临床特点,诱发因素及治疗方法。方法:分析28例病人的临床表现及辅助检查结果。结果:本组病人发病有早晨和下午两个发病高峰,腱反射呈多样性,全部病例肌张力降低,无病理征。6例(21.4%)为甲亢继发低钾型周期性麻痹,75%有心电图异常改变,所有病人经静脉及口服补钾后症状完全缓解。结论:进一步认识了低钾型周期性麻痹的临床及辅助检查特点,有利于诊断、鉴别诊断及治疗。
Objective: To evaluate the clinical characteristics, induced causes and treatment ways in Patient with hypokalemia periodic paralysis( HOKPP) . Methods: Various clinical manifestations and adju-vant tests results were analysized in 28 cases of HOKPP;and literatures were reviewed. Results:The peak attack period was offen in the early moring and the afternoon in our series. The tenden reflex usually showed various tonicity and the muscular tension appeared hypotonicity but no any pathologic signs were found in all of the patients. There was abnormal and the electrocardiogram change in 75% of the patients. 6 cases (21. 4% ) secondary to hyperthyroidism. The symptoms was disappeared completely in all cases after kalium was given intravenouslly or orally. Conclution:The clinical and adjuvant tests characteristics are understood to be useful to diagnosis,differential diagnosis and treatment.
出处
《临床急诊杂志》
CAS
2002年第2期66-68,共3页
Journal of Clinical Emergency
