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1 临床资料周期性麻痹是甲亢患者常见的神经肌肉并发症,但以四肢对称性迟缓性瘫痪为首发症状的甲亢临床较少见,极易漏诊。我们将1999年1月～2005年5月收治的3例病案分析于下。例1,男,43岁,体育教师,患支气管哮喘10余年,1999年3月哮喘再次发作。查体:双肺散在哮鸣音,心、腹(-)。给予红霉素1.0g,Dex 10mg于10%GS500 ml 静滴,胸闷、气喘症状减轻。静滴约2～3h 后出现双下肢软弱无力,不能下床及行走,肌无力进行性加重,延及双上肢。查体:心肺体征如前,四肢深、浅感觉正常,肌力0级,腱反射消失。急
1 clinical data Periodic paralysis is a common neuromuscular complications in patients with hyperthyroidism, but the slow onset of limb symmetry paralysis as the first symptom of hyperthyroidism clinical rare, easily missed diagnosis. We will January 1999 ~ May 2005 admitted to the 3 cases of medical analysis in the next. Example 1, male, 43 years old, physical education teacher, suffering from bronchial asthma more than 10 years, March 1999 asthma attack again. Physical examination: lungs scattered wheeze, heart, abdomen (-). Give erythromycin 1.0g, Dex 10mg in 10% GS500 ml intravenous infusion, chest tightness, asthma symptoms reduced. After about 2 ~ 3h intravenous infusion of lower extremity weakness, unable to get out of bed and walking, muscle weakness progressive aggravated, extending to both upper extremities. Physical examination: cardiopulmonary signs As before, limbs deep, shallow feel normal, muscle strength 0, tendon reflex disappears. anxious