学术
摘 要:
目的提高对低钾性周期性麻痹临床表现的认识,提出治疗及预防措施以及护理建议。方法分析41例周期性麻痹病例的临床表现及辅助检查结果。结果男29例,女12例,年龄17～55岁,平均32.1岁,其中40岁以下30例,占73.2%。发病季节为5～9月份者32例,占78.0%。均表现为不同程度的骨骼肌驰缓性瘫痪,合并感觉障碍8例,伴有甲状腺功能亢进者9例（22.0%）。16例肌酶学指标均有不同程度的升高,有低钾性心电图改变者35例,占85.4%。结论低钾性周期性麻痹的发病以青壮年男性为主。多发于夏秋季节,可有多种诱因存在。急性肌无力为其临床特点,低钾血症、特征性心电图改变有利于确立诊断。部分不典型病例合并有甲亢,血清肌酶升高,以及感觉异常,临床注意与急性脊髓病变,以及格林巴利综合征、肌炎等相鉴别。治疗上主要是快速补钾,以口服为主。注意适当的心理疏导。[著者文摘]
文章出处:
《实用临床医学（江西）》-2008年9卷2期,20 -15-17,20页
栏目信息:
分 类 号:
文献标识码:
A
文章编号:
1009-8194（2008）02-0015-03
Clinical Analysis of 41 Cases of Hypokalemic Periodic Paralysis
WANG Qian-you （Department of Neurology, the Colored Hospital of Tongling , Tongling Metal General Staff 244000,China）
Abstract:
Objective To improve the knowledge about clinical features of hypokalemic periodic paralysis and raise the method to treat and to prevent the disease, as well as to give the advice of nursing. Methods The clinical features of 41 patients with hypokalemic periodic paralysis were analyzed. Results Twenty-nine cases were males, 12 were females, the age was between 17～55 years with an average age of 32. 1. And 30 cases （73. 2%） were below 40 years old; 32 cases （78.0%）happen during May to September. Each case expressed soft palsy of the skeletal muscle in varying degree. And 8 cases with disorder of sensation,9（22.0%）with hyperthyroidism. There were 16 cases showed high level of serum enzyme. There were 35 cases（85.4%）showed typical ECG of hypokalemia. Conclusion Hypokalemic periodic paralysis mostly happen in male,in summer or autumn,age concentrate in adult, with kinds of predisposing cause. The clinical features were acute palsy,hypokalemia and the typical ECG were helpful to diagnose. Some atypical cases happened with hyperthyroidism,high level of serum enzyme,disorder of sensation. It was necessary to differentiate from acute spinal cord disease, Guillain, Barre Syndrome, myositis etc. The first treatment was to supply potassium ion by taking orally. Also remember to afford a psychological persuasion to the patients.[著者文摘]
Key words:
hypokalemia; periodic paralysis; hyperthyroidism; serum enzyme; ECG
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