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目的探讨甲亢以周期性麻痹为主要症状病例的临床诊治分析。方法 2010年1月至2012年1月期间,我院诊治的20例以周期性麻痹为主要症状的甲亢患者,给予相应的抗甲亢治疗,平均随访6个月,对其临床资料进行回顾性分析。结果 20例以周期性麻痹为主要症状的甲亢患者,进行补钾治疗后,患者的肢体瘫痪症状得到了明显改善,肌力也逐渐恢复正常,继续给予抗甲亢治疗,17例患者再也没有出现周期性麻痹症状,3例由于不能持续进行抗甲亢治疗,导致反复出现周期性麻痹,以及甲亢症状。结论对于以周期性麻痹为主要症状的甲亢患者,临床医师需要事先了解甲亢的各种临床表现,常规进行甲状腺功能检查,降低漏诊率和误诊率,同时,及时给予补钾治疗,有效预防周期性麻痹的再次复发。
Objective To investigate the clinical diagnosis and treatment of hyperthyroidism with periodic paralysis as the main symptom. Methods From January 2010 to January 2012, 20 patients with hyperthyroidism who had periodic paralysis as the main symptom were treated with anti-hyperthyroidism. The patients were followed up for an average of 6 months. The clinical data of the patients were retrospectively analyzed . Results Twenty patients with hyperthyroidism who had periodic paralysis as the main symptom experienced significant improvement of limb paralysis and muscle strength gradually returned to normal after treatment with potassium supplementation. The treatment with anti-hyperthyroidism was continued and no recurrence occurred in 17 patients Symptoms of paralysis and 3 cases of recurrent paralysis and hyperthyroidism due to failure to sustain anti-hyperthyroidism. Conclusions For hyperthyroid patients with periodic paralysis as the main symptom, clinicians need to understand various clinical manifestations of hyperthyroidism in advance, perform routine thyroid function tests, reduce the rate of misdiagnosis and misdiagnosis, and at the same time, promptly give potassium therapy to prevent cyclical Recurrence of paralysis.