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目的 :探讨低钾性周期性麻痹的临床特征。方法 :对 1991年 1月～ 2 0 0 1年 2月确诊的 64例低钾性周期性麻痹的患者进行临床分析。结果 :64例患者中原发性 5 0例 ,其中有家族史者 4例 ,散发 46例。继发性 14例 ,其中继发于甲亢者 10例 ,激素引起者 4例。有心电图资料者 42例 ,正常 10例 ,有典型低血钾改变者 3 2例。有血清CPK资料者 3 0例 ,升高者 2 1例。伴有四肢麻木者 6例 ,肌肉酸痛者 5例。结论 :部分患者可有感觉异常及肌酶增高 ,血清钾及心电图的检查有利于早期诊断及治疗。继发性者要加强病因治疗 ,避免各种诱因是防止复发的关键。
Objective: To investigate the clinical features of hypokalemic periodic paralysis. Methods: Clinical data of 64 patients with hypokalemic periodic paralysis confirmed from January 1991 to February 2001 were analyzed. Results: Of the 64 patients, 50 were primary, of which 4 were family history and 46 were sporadic. Secondary 14 cases, of which 10 cases were secondary to hyperthyroidism, hormones caused by 4 cases. There are 42 cases of ECG information, normal in 10 cases, there are 32 cases of typical hypokalemia changes. There are 30 cases of serum CPK information, elevated 21 cases. Six patients with limb numbness and five patients with muscle soreness. Conclusion: Some patients may have sensory abnormalities and muscle enzymes increased serum potassium and ECG examination is conducive to early diagnosis and treatment. Secondary to strengthen the cause of treatment, to avoid a variety of incentives is the key to preventing recurrence.