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目的:探讨甲亢性周期性瘫痪的临床特点。方法:回顾分析30例甲亢性周期性瘫痪病例的临床表现及辅助检查结果。结果:30例血K+3.0~3.5 mmol/L 9例,2.2~2.9 mmol/L 11例,2.0~2.4 mmol/L 4例,低于1.9 mmol/L6例。结论:甲亢性周期性瘫痪以年轻男性多发,补钾治疗可迅速改善症状,抗甲亢治疗是控制甲亢性周期性瘫痪复发的关键。提示受凉、感染、酗酒、过度疲劳、剧烈运动、饱餐等可诱发甲亢性周期性瘫痪的发作,应注意避免。
Objective: To investigate the clinical features of hyperthyroidism periodic paralysis. Methods: A retrospective analysis of 30 cases of hyperthyroidism in patients with periodic paralysis and the clinical manifestations of auxiliary examination results. Results: Thirty cases had K + 3.0-3.5 mmol / L in 9 cases, 2.2-2.9 mmol / L in 11 cases, 2.0-2.4 mmol / L in 4 cases, and less than 1.9 mmol / L in 6 cases. Conclusion: Hyperthyroidic cyclical paralysis occurs frequently in young men. Treatment with potassium can rapidly improve symptoms and anti-hyperthyroidism is the key to control recurrent paralysis of hyperthyroidism. Tips to avoid cold, infection, alcoholism, fatigue, strenuous exercise, full meal and other episodes of cyclical paralysis can induce hyperthyroidism should be avoided.