摘要
目的:探讨以低钾瘫痪为主要临床表现的甲状腺功能亢进(甲亢)的发病相关因素及治疗方案。方法:回顾性分析18例低钾瘫痪合并甲亢的临床资料。结果:发作时均有不同程度的双下肢瘫痪或四肢软瘫;伴有血钾降低18例,T3、T4均高于正常;5例合并2度1型房室传导阻滞。结论:甲亢合并周期性瘫痪以年轻男性多发,治疗低钾瘫痪合并甲亢补钾治疗可短期改善症状,抗甲亢治疗是控制甲亢合并周期瘫痪复发的关键。
Objective：To investigate the pathogenic related factor of hyperthyreosis with clinical manifestation of low potassium paralysis and its regimen. Methods：The clinical data in 18 cases of hyperthyreosis with low potassium paralysis were collected and analyzed. Results：All 18 patients had different extent paralysis of bilateral low hmbs or flaccid paralysis of four limbs in the onset of this disease,and coexisted with the blood kalium decrease. The values of T3 and T4 in all patients were higher than those in normal controls.5 cases of them were accompanied by degree 2 typ 1 atrioventricular block simultaneously. Conclusion：The male patients with hyperthyreosis with periodic paralysis are more than female patients. Replenishing kalium can shortly meliorate the symptom of hyperthyreosis with periodic paralysis,the anti-hyperthyreosis therapy is the key to controlling the recurrence of hyperthyreosis with periodic paralysis.
出处
《现代医药卫生》
2006年第8期1124-1124,共1页
Journal of Modern Medicine & Health
