低钾性麻痹42例临床分析

Clinical analysis of 42 patients with hypokalemic paralysis

目的探讨低钾性麻痹患者的病因和治疗。方法综合分析某院近年来收治的42例低钾性麻痹患者的临床资料。结果42例患者中诊断周期性麻痹32例，甲状腺功能亢进症8例，远端肾小管酸中毒2例，所有患者在补充钾盐及病因治疗后症状消失，血钾恢复正常。结论对频繁发作的低钾性麻痹患者应注意排除甲状腺功能亢进症，对持续难纠正的低钾性麻痹应做更详细的检查。

Objective To explore diagnosis and treatment of hypokalemic paralysis in patients. Methods Integrated into our hospital, admitted 42 patients with hypokalemic paralysis of the clinical data. Results Of 42 patients, 32 cases were diagnosed of periodic paralysis, eight cases of hyperthyroidism, distal renal tubular acidosis two cases. All patients in the supplementary potassium and causing symptoms disappeared after treatment. Serum potassium restored to normal level. Conclusion Of frequent seizures in hypokalemic paralysis should be taken to exclude hyperthyroidism. For difficult to corrected hypokalemic paralysis should do more detailed checks.