前言目的探讨低钾性周期性瘫痪的临床特点,提高诊治水平。方法对46例低钾性周期性瘫痪的临床资料进行回顾性分析。结果多数发病有诱因,睡眠及晨醒时发病;典型表现是反复发作的以肢体近端为主的四肢驰缓性瘫痪,严重者呼吸肌无力,有血清钾降低;所有病例经口服、静脉补钾后症状均获缓解。部分患者并不符合上述典型临床表现:如瘫痪不对称、腱反射亢进等,治疗过程中出现一过性血清钾升高。结论认识低钾性周期性瘫痪的不典型临床表现对早期诊断、及时治疗具有一定意义。
ObjectiveToinvestigatetheclinicalcharacteristicsofhypokalemicperiodicparalysis（HOPP）andexplorethediagnosisandtreatmentofHOPP.MethodsTheclinicaldataof46caseswithHOPPwereanalyzedandsummarizedretrospectively.ResultsTherewasaninducementamongmostlycases,andthesymptomsoccurredmainlyininsomniaorearlyawakening.Theclassicalappearancewassluggishmyoastheniaoffourlimbsandhypopotassemia.SeriousHOPPexperiencedrespiratoryparalysis.Thesymptomsofallcasesrelieve...
