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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 investigate the clinical characteristics, predisposing factors and treatment of hypokalemic periodic paralysis (HOKPP). Methods: The clinical manifestations and laboratory findings of 28 patients were analyzed. Results: The incidence of this group of patients in the morning and afternoon the peak incidence of two, showed a variety of tendon reflexes, all cases of muscle tone decreased, no pathological signs. 6 cases (21.4%) were Hypokalemia secondary hypokalemic periodic paralysis, 75% had abnormal electrocardiogram changes. All patients were completely relieved symptoms after intravenous and oral potassium supplementation. Conclusion: Further understanding of the clinical and auxiliary examination of hypokalemic periodic paralysis is conducive to the diagnosis, differential diagnosis and treatment.