摘要
目的探讨重症低钾型周期性瘫痪的临床特征和治疗方法。方法对26例重症低钾型周期性瘫痪的患者的临床资料进行分析。结果26例患者并呼吸肌麻痹7例;昏迷1例;Ⅰ°房室传导阻滞13例,Ⅱ°Ⅰ型房室传导阻滞2例,Ⅲ°房室传导阻滞1例;窦性停搏2例;继发甲亢5例。抢救成功25例。结论重症低钾型周期性瘫痪抢救成功的关键在于及时有效地补钾,使血钾在短时间内恢复到较为安全的水平。呼吸肌麻痹应及早气管插管,辅助呼吸。
Objective To explore the clinical feature and therapeutic method of severe hypokalemia periodic paralysis. Method The clinical data of 26 cases of severe hypokalemia periodic paralysis were analyzed. Results In all these 26 cases , subsequent respiratory muscle paralysis were found in 7 cases; coma in 1 case;Ⅰ°atrioventricular block in 13 cases; Ⅱ°Ⅰ atrioventricular block in 2 cases;Ⅲ° atrioventricular block in 1 case; sinus arrest in 2 cases; hyperthyreosis in 5 cases. 25 cases were successfully rescued. Conclusions Prompt and effective administration of potassium is the key of successful rescue from severe hypokalemia periodic paralysis. Endotracheal intubation and assisted respiration is indispensable if respiratory muscle paralysis happened.
出处
《热带医学杂志》
CAS
2005年第4期545-546,共2页
Journal of Tropical Medicine
关键词
重症周期性瘫痪
低血钾
治疗
severe periodic paralysis
hypokalemia
treatment
