急性甲亢性延髓麻痹的临诊应对

Approach to the patient with acute bulbar palsy in hyperthyroidism

急性甲亢性延髓麻痹是一种十分罕见的甲亢性肌病，起病急，进展快，常在数周内发展到严重状态，出现吞咽困难，发音不准，严重者危及患者生命。大多数患者在有效的抗甲状腺治疗后，吞咽困难等症状通常在3周内可完全缓解。本文详细介绍1例甲亢性延髓麻痹的临床特点及处理原则，以便于临床医生及时发现及处理该疾病。

Acute bulbar palsy is considered an extremely rare manifestation of neuromuscular disorder in thyrotoxicosis. It happens abruptly and progresses quickly, sudden onset of dysphagia is common. It will endanger patient＇s life without proper treatment. The definite treatment of acute hulbar palsy in hyperthyroidism is to restore the euthyroid state. The dysphagia usually resolves within 3 to 4 weeks. In this article a case of thyrotoxicosis with acute bulbar palsy in reported herewith to call attention to the diagnosis and treatment of this disorder.