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目的探讨甲亢以周期性麻痹为主要症状的临床诊治。方法 2008年1月至2010年1月收治的甲亢以周期性麻痹为主要症状患者48例,进行回顾总结。结果本组甲亢以周期性麻痹为主要症状患者进行静脉补钾,用药后2～24h,瘫痪肢体、肌力恢复正常,继续抗甲亢正规治疗,39例患者未再复发周期性麻痹,7例不能坚持服用抗甲亢药,甲亢反复发作,周期性麻痹复发。结论甲亢以周期性麻痹为主要症状病例在甲亢中常有发生,加强对本症的认识,克服主观思想,对反复发作者应做甲状腺功能检查,及早明确诊断;静脉补钾是对症治疗,抗甲亢治疗是防止周期性麻痹的根本措施。
Objective To investigate the clinical diagnosis and treatment of hyperthyroidism with periodic paralysis as the main symptom. Methods From January 2008 to January 2010, 48 patients with hyperthyroidism who had periodic paralysis as the main symptom were reviewed retrospectively. Results This group of hyperthyroidism patients with periodic paralysis as the main symptoms of intravenous potassium, 2 ~ 24h after treatment, paralyzed limbs, muscle strength returned to normal, continue anti-hyperthyroidism regular treatment, 39 patients no recurrence of periodic paralysis, 7 patients can not Adhere to take anti-hyperthyroidism drugs, recurrent hyperthyroidism, recurrence of periodic paralysis. Conclusion Hyperthyroidism with periodic paralysis as the main symptoms of hyperthyroidism in patients with frequent cases, to strengthen awareness of the disease, to overcome the subjective thoughts of repeated episodes of thyroid function tests should be done, as early as a clear diagnosis; intravenous potassium is symptomatic treatment, anti-hyperthyroidism treatment Is to prevent the periodic paralysis of the fundamental measures.