低钾型周期性麻痹28例分析  

Analysis of the Periodic Paralysis 28 Cases

作　　者：黄光[1] 戚晓昆[1] 李杰 

机构地区：[1]海军总医院神经内科,北京100037 [2]河北省张家口市第二医院内科,河北057000

出　　处：《海军总医院学报》2002年第2期102-103,共2页Journal of Naval General Hospital of PLA

摘　　要：目的　讨论重症低钾型周期性麻痹的临床特点和治疗方法。方法　 2 8例患者均有心电图异常改变 ,16例 (6 8% )的患者继发于甲亢 ,肌腱反射正常 15例 (5 3% )、肌腱反射活跃者 2例 (7% ) ,2 1例 (75 % )血清肌酸磷酸激酶有不同程度的增高。结论　低钾型周期性麻痹发病急、进展快 ,血钾和心电图检查有助于及时诊断本病。抢救成功的关键在于及时有效的补充血钾 ,使血钾恢复到相对较为安全的水平。Objective To observe the clinical features of periodic paralysis and to explore treatment method. Methods All the 28 cases have abnormal of ECG, 16 cases (68%) were secondary to Graves's disease. 15 cases (53%) showed normal deep tendon reflexes, 2 cases (7%) showed higher deep tendon reflexes. There were 21 cases (75%) showed high level serum CPK. Conclusion The serum hypokaliemia and ECG are good indicators for diagnozing the periodic paralysis which usually comes urgently and change easy fast. It is the key to give kalemia and maintain the serum kalemia in safety level.\;

关 键 词：周期性麻痹 低血钾 临床特点 治疗 

分 类 号：R591.1[医药卫生—内科学] R746.[医药卫生—临床医学]