低钾型周期性麻痹40例临床分析

摘要

Objective To explore the etiology,causes,examination and treatment of hypokalemic periodic paralysis (HOPP). Methods Clinical manifestation and therapy of 40 patients with HOPP have been summarized .Results There were 35 cases at the first onset and 32 cases with exact predisponsing cause ,15 cases with thyroid disfunction .After potassium and symptomatic treatment ,38 cases were cured while 1 case with hyperadrenocortism and 1 case with hyperinsulinemia got hypopotassaemia repeatedly .Conclusion Hypokalemic periodic paralyses usually happen with exact predisposing cause ,which is important for diagnosis and prevention .Positive pathogeny cure is an effective method to avoid recurrence of patients with definite etiology .%目的：探讨低钾型周期性麻痹的病因、临床诱因及检查、治疗结果，以提高对本病的认识及诊疗水平。方法回顾性分析并总结40例低钾型周期性麻痹患者的临床资料。结果40例低钾型周期性麻痹患者中首次发病者35例，有明确诱因者32例，甲状腺功能异常者15例，治疗后除1例醛固酮增多症和1例高胰岛素血症患者治疗期间仍存在反复低钾血症外，38例患者肌力均恢复正常。结论低钾型周期性麻痹患者多有明确诱因，了解发病诱因是诊断及预防该病的重要环节。对有确切病因的患者给予积极的病因治疗是防止复发的有效方法。