低血钾性瘫痪58例临床分析

目的：通过对58例低血钾性瘫痪临床资料的分析，提高对该病的认识。方法：回顾分析1995年3月至2003年6月我们收治的58例低血钾性瘫痪的临床资料。结果：49例为外地民工。临床表现为肢体对称性麻木、乏力，近端重于远端，下肢重于上肢。伴有上呼吸道感染16例。甲状腺功能亢进症5例。心电图出现U波36例，部分有其他异常心电图表现。经补钾、补镁等治疗肌力恢复正常，结论：低血钾性瘫痪患者大多数是外来民工，错误的生活习惯、恶劣的工作及食宿条件是其主要因素。治疗原发疾病，在补钾的同时补镁，可提高疗效，降低复发率。

A clinical analysis of 58 cases of hypokalemic paralysis

Objective: To analyze the clinical characteristics and therapeutical approaches of hypokalemic paralysis. Methods: 58 cases of hypokalemic paralysis cured from March 1995 to June 2002 were retrospectively analyzed. Results: The patients who were non-native workers were 49 cases. The limbs were symmetrical paralysis, the proximal muscles was more serious than the distal muscles and the lower limbs were more serious than the upper limb. They were the three most common clinical manifestations. 16 cases of them were complicated by acute upper respiratory tract infection. 5 cases were with hyperthyroidism, 36 cases with U wave, some with other anomalous ECG. Muscular power came back by the therapy that kalium and magnesium etc were given. Conclusion: Most of patients with hypokalemic paralysis were the workers who were non-native. Mistake habit and bad conditions that they were at work and in room and board were the two main factors. The effect was improved by the measures that were taken to cure the primary effection and to be given kalium and magnesium.