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目的探讨甲状腺功能亢进症合并周期性麻痹的临床特点,提高本病的诊治水平。方法回顾性分析13例甲状腺功能亢进症合并周期性麻痹患者的临床资料。结果 13例甲亢合并周期性麻痹患者发作时均有不同程度的双下肢或四肢软瘫,均伴有血钾降低,13例T3、T4均高于正常。结论甲亢合并周期性麻痹以中青年男性多发,补钾治疗可迅速改善症状,抗甲亢治疗是预防本病复发的关键。
Objective To investigate the clinical features of hyperthyroidism complicated with periodic paralysis and to improve the diagnosis and treatment of this disease. Methods A retrospective analysis of 13 cases of hyperthyroidism with periodic paralysis in patients with clinical data. Results Thirteen patients with hyperthyroidism complicated with periodic paralysis had different degrees of bilateral lower extremities or limbs with palpitation, accompanied by a decrease in serum potassium. Thirteen patients with T3 and T4 were higher than normal. Conclusions Hyperthyroidism complicated with periodic paralysis often occurs in middle-aged and young men. Potassium treatment can rapidly improve the symptoms. Anti-hyperthyroidism therapy is the key to prevent recurrence of this disease.