急诊以周期性麻痹为首诊的甲状腺功能亢进32例临床分析  

Clinical Analysis of 32 Patients which Led by Periodic Paralysis,Initial Diagnosis of Hyperthyroidism in Emergency Department

作　　者：刘轶群[1] 靖颖霞[1] 熊选政 郭春林[1] 

机构地区：[1]湖南省马王堆医院,湖南长沙410016

出　　处：《中外医学研究》2015年第1期123-124,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨以周期性麻痹为首诊的甲状腺功能亢进的临床特点,为在急诊诊断及治疗中积累临床资料。方法:回顾性分析笔者所在医院收治的32例以周期性麻痹为首诊的甲状腺功能亢进患者临床资料。结果:(1)好发于青壮年男性;(2)主要表现为对称性瘫痪;(3)81.25%患者发病前有明显诱因,部分患者在清晨发病;(4)抽血均显示低钾血症;(5)麻痹症状在补钾治疗后缓解。结论:周期性麻痹为首诊的甲状腺功能亢进患者,青壮年男性居多,临床对称性瘫痪是其特征,且以下肢为主,诊断中低钾多见。Objective：To explore the clinical feature which led by periodic paralysis diagnosis of hyperthyroidism, accumulated clinical data in emergency department.Method：The clinical data of 32 patients which led by periodic paralysis,initial diagnosis of hyperthyroidism in emergency department were retrospectively analyzed.Result：（1）It occurred especially in young adults.（2）Mainly for symmetry paralysis.（3）81.25% had significant incentives,some occurred early after awakening.（4）The incidence of serum potassium levels were lower than normal.（5）The symptoms remissioned after potassium treatment.Conclusion：The patients which led by periodic paralysis first diagnosis of hyperthyroidism,have a higher predilection for young men,clinical symmetry are characterized by paralysis and mainly in the lower limbs,diagnosise of low potassium.

关 键 词：周期性麻痹 甲状腺功能亢进症 低钾血症 

分 类 号：R581.1[医药卫生—内分泌]