【摘要】 目的探讨甲亢并发周期性麻痹的临床特点。方法回顾性分析自2005-2011年收治的30例甲亢并发周期性麻痹病人的临床资料。结果所有病例有较明显诱因,多在夜间睡眠、清晨醒后起病,均为急性起病,以四肢瘫痪为主,近端重于远端,下肢重于上肢。30例患者治疗前血清钾均较正常水平低,其甲状腺功能测定均显示T3、T4升高,TSH降低。结论甲亢并发周期性麻痹有其临床特点,早期诊断及时补钾治疗与预后密切相关。更多还原

【Abstract】 Objective To explore the clinical feature of thyrotoxic periodic paralysis.Methods Retrospectively analyze clinical data of 30 patients with thyrotoxic periodic paralysis in hospital from 2005 to 2011.Results All patients had obvious inducement,most onset during night time or early morning,they all onset urgently and most with tetraplegia,proximal end outweighed distal end,the lower limbs outweighed the upper limbs.Serum potassium of 30 patients were lower than common level prior treatment.Their thyroid function examination showed that T3 and T4 were step up while TSH was step down. Conclusions Thyrotoxic periodic paralysis had its clinic feature,early diagnosis and replenishment of potassium in time had close correlation with prognosis.更多还原