摘要
目的:总结低钾麻痹的常见病因和临床表现及血清肌酶改变。方法:回顾分析46例低钾麻痹患者的病因、主要临床表现、辅助检查。结果:我院低钾麻痹的常见病因有低钾性周期性麻痹、急性肠炎、利尿剂的副作用、甲亢性周期性麻痹等。部分患者尤其有肌肉疼痛者肌酸磷酸肌酶(CPK)、乳酸脱氢酶(LDH)升高,且和肌力、血钾水平有明显的关系,患者肌力正常后肌酶也恢复正常。结论:低钾麻痹患者肌酶升高和肌细胞膜通透性增高有关。
objective: To summarize the common cause and the clinical features and changes of serum creatase in pa- tients with hypokalemic palalysis. Methods:The cause and the clinical features and the accessory examnation were analyzed retrospectively in 46 patients with hypokalemic palalysis. Re- suits :The common cause of the hypokalemic palalysis in our patients were hypokalemic periodic palalysis , acute enteritis, side effects of the diuretics and thyrotoxic periodic palalysis, se- rum creatase(CPK, LDH) were increased in the partial patients with myalgia, and clear relationship to muscle power, potassium levels ,and returned to normal along with muscle power normal. Conclusion: the elevated serum creatase were related to in- creased permeability of the muscle cell membrane.
出处
《黑龙江医药》
CAS
2015年第4期930-931,共2页
Heilongjiang Medicine journal
关键词
低钾麻痹
肌酶
通透性
hypokalemic palalysis
creatase
permeability