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内分泌对肌肉活动的作用和内分泌代谢异常相关的肌病已引起人们的重视。由于本病少有主诉故常被忽视甚至误诊,本文从临床角度出发结合近期文献作一复习。 一、甲亢肌病 甲亢性肌病又叫甲状腺毒性肌病,是甲亢的特殊类型。临床上可分为四型,甲亢患者可以合并一种或多种肌病,现将临床各型及特点简介如下。 (一) 急性甲亢肌病(ATM) 临床少见。其特点:除有甲亢症状和体征外,还有四肢肌和躯干肌萎缩,病势凶险,可在数周内迅速出现延髓麻痹,表现为表情淡漠,咀嚼及吞咽困难,呼吸困难,常因呼吸肌麻痹而死亡。故及时诊断正确治疗
Endocrine effects on muscle activity and endocrine disorders related to myopathy has aroused people’s attention. Due to the disease rarely complained often ignored or even misdiagnosed, this article from the clinical point of view combined with recent literature for a review. First, hyperthyroidism Myopathy Hyperthyroidomycetes, also known as thyrotoxic myopathy, is a special type of hyperthyroidism. Clinically divided into four types, patients with hyperthyroidism can be combined with one or more myopathy, now the clinical types and characteristics are as follows. (A) acute hyperthyroidism myopathy (ATM) clinical rare. Its characteristics: In addition to hyperthyroidism symptoms and signs, there are limb muscle and trunk muscle atrophy, dangerous, can quickly appear in a few weeks bulbar palsy, manifested as indifference, chewing and swallowing difficulties, difficulty breathing, often due to respiratory muscles Paralysis and death. It is timely diagnosis of the correct treatment