周期性瘫痪48例临床分析

目的探讨周期性瘫痪的临床特点。方法分析48例周期性瘫痪病例的临床表现及辅助检查结果。结果25％有饱餐和输注葡萄糖史；39．5％患者继发于甲状腺功能亢进；33．3％患者出现心肌酶学改变；64．6％患者出现心电图异常改变。结论注意去除可避免的诱因；周期性瘫痪继发于甲亢的高比例现象应引起重视；本病可出现血清肌酸激酶升高；心电图检查有助于及时确诊本病。

Clinical Characteritic of 48 Cases with Periodic Paralysis

Objective To study the clinical features of periodic paralysis. Methods The clinical features of 48 patients with periodic paralysis were analysed. Results 12 cases（ 25% ） showed that they had too full or injected glucose, 19 cases（ 39.5% ） were secondary to Graves＇ s disease, 16 cases（33.3%） showed high level serum cpk in 42 cases tested for serum cpk,31 cases（64.6%） showed abnormal ECG. Conclusion We should do our best to eliminate inevitably factors,the high rate of periodic paralysis was secondary to Graves＇s disease in our study, some patients may occur with high level of serum cpk, ECG can help to diagnose the disease in time.