甲亢性周期性瘫痪18例临床分析  

Clinical analysis of 18 cases of periodic paralysis accomplied with hyperthyroidism

作　　者：石宁[1] 

机构地区：[1]江苏东海县人民医院,东海222300

出　　处：《河南实用神经疾病杂志》2003年第6期18-19,共2页Henan Journal of Practical Nervous Diseases

摘　　要：目的　分析甲亢性周期性瘫痪。方法　回顾 18例甲亢性周期性瘫痪临床资料。结果　青壮年男性多发。其中 8例误诊为非甲亢性周期性瘫痪 ,发作时均有低血钾 ,T3 、T4 均高于正常。补钾治疗迅速有效 ,甲亢控制不好易复发。结论　青壮年男性患低血钾瘫痪 ,在积极补钾同时要注意查T3 、T4 ,确诊甲亢性周期性瘫痪 ,抗甲亢治疗 ,是防止复发的关键。Objective To analysis the diagnosis and prognosis of periodic parargsis accomplied with hyperthyroidism.Methods To review the data of 18 cases of periodic paralysis with hyperthyroidism.Results Periodic paralysis was easily occured in youngman,out of the 18 cases,8 cases were disdiagnosied as non hyperthyroidism.In all the 18 cases,there was lower blood K + and higher T 3,T 4 than normal persons.Supplying with K + was effective. periodic paralysis would reoccur unless hyperth yroidism was controled.Conclusions Young patients with periodic paralysis should be examin T 3、T 4.Treatment hyperthyroidism is the key to prerent the reoccur of periodic paralysis.

关 键 词：甲亢性周期性瘫痪 误诊 诊断 治疗 临床分析 

分 类 号：R746.4[医药卫生—神经病学与精神病学]