周期性瘫痪184例临床表现与血清钾关系的分析

Analysis the relation between cyclic paralysis clinical manifestation and potassium blood-serum about 184 cases

目的分析周期性瘫痪症状、体征与血清钾的关系，如何鉴别诊断、正确治疗。方法回顾性分析1998～2008年184例周期性瘫痪。结果周期性瘫痪以低钾型最多见，其中以继发性为主。高血钾型很少见，未见正常血钾型周期性瘫痪。结论周期性瘫痪患者的血清钾降低的程度与肢体瘫痪的程度、呼吸困难、心脏受累不成比例。

Objective The analysis the relation between cyclic paralysis symptom, physical sign and potassium blood-serum, how to discrimination, diagnosis and correctly treat.Methods Retrospective analysis the 184 cyclic paralysis eases from 1998 to 2008. Results About the cyclic paralysis, the hypopatassemia type is the most common, the hyperpotassemia type is seldom and the normopotassemia type without cyclic paralysis. Conclusion The potassium blood-serum reduce degree of the cyclic paralysis case is out of proportion to the body paralysis degree, the breathe with difficulty and the heart PUtting to much trouble.