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目的探讨甲亢合并周期性麻痹临床诊治措施。方法回顾分析45例患者的临床资料。结果本组45例患者通过口服及静脉补钾后1h～12h症状缓解。甲亢确诊后给予抗甲状腺药物口服,42例治疗后甲状腺功能恢复正常,半年内无周期性麻痹复发;另3例因停服抗甲亢药物而于3个月至半年内周期性麻痹复发。结论甲亢并周期性麻痹诊断明确后要及时补钾,在补钾同时要注意控制甲亢。本组患者补钾与抗甲亢药物合用,疗效满意,大多数患者在半年内无甲亢并周期性麻痹复发。因此周期性麻痹急性期过后,控制甲亢是关键。并尽量避免寒冷、饱餐、精神刺激、剧烈运动等诱发因素。
Objective To investigate the clinical diagnosis and treatment of hyperthyroidism complicated with periodic paralysis. Methods The clinical data of 45 patients were retrospectively analyzed. Results The 45 patients in this group through the oral and intravenous potassium 1h ~ 12h after symptom? My relief. After the diagnosis of hyperthyroidism given anti-thyroid drugs orally, 42 cases of thyroid function returned to normal after treatment, no recurrence of periodic paralysis within six months; the other three cases due to stop taking anti-hyperthyroidism drugs in 3 months to six months recurrence of periodic paralysis. Conclusion Hyperthyroidism and periodic paralysis after diagnosis should be promptly potassium, while potassium should pay attention to control hyperthyroidism. This group of patients with potassium and anti-hyperthyroidism drugs, the effect is satisfactory, the majority of patients within six months without hyperthyroidism and recurrent paralysis. Therefore, after the acute phase of periodic paralysis, the control of hyperthyroidism is the key. And try to avoid the cold, full meal, mental stimulation, strenuous exercise and other triggers.