| 甲亢并发周期性麻痹30例临床特点分析 |
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| 引用本文： | 董智慧,石福彦,李子玲.甲亢并发周期性麻痹30例临床特点分析[J].疾病监测与控制杂志,2012(3):142-143. |
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| 作者姓名： | 董智慧 石福彦 李子玲 |
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| 作者单位： | [1]内蒙古医学院2009级研究生,内蒙古呼和浩特010059 [2]内蒙古医学院第三附属医院内分泌科,内蒙古包头014010 |
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| 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。
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| 关 键 词： | 甲状腺机能亢进症 周期性麻痹 低血钾 |
Clinical Analysis of 30 Patients with Hypokalemic Thyrotoxic Periodic Paralysis |
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| Authors: | DONG Zhi-hui SHI Fu-yan LI Zi-ling |
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| Institution: | 1.Postgraduate in Inner Mongolia College 2009 Grade,Huhhot 010050 China;2.Department of Endocrinology,the Third Affiliated Hospital of Inner Mongolia College,Baotou 014010,China) |
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| 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. |
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| Keywords: | Hyperthyrosis Periodic paralysis Hypokalemia |
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