论文部分内容阅读
一、本病例在诊断上应考虑到下列几种疾病: (一)低血钾周期性麻痹本例表现为四肢下运动神经元性瘫痪,并有近端重、远端轻的特点;无括约肌功能及客观感觉障碍;有血清钾降低及心电图低钾性改变;脑脊液正常等,似应考虑低血钾周期性麻痹。但也有许多表现和该病不符:①起病较慢,在几天后才发展到四肢瘫痪;②烦渴、多尿较显著;③病变累及到颈部以上肌肉,有吞咽无力及张口困难;④除血清钾降低较显著外,并有血清氯化物升高及二氧化碳结合力降低;而该病的血清钾降低一般较轻,且多无明显其他电解质及酸碱平衡的紊乱;⑤有
First, this case should be considered in the diagnosis of the following diseases: (a) hypokalemia periodic paralysis in this case manifested as motor neurons paralyzed under the limbs, and a proximal heavy, distal light features; no sphincter Function and objective sensory disturbance; serum potassium and hypokalemia ECG changes; normal cerebrospinal fluid, etc., may wish to consider hypokalemic periodic paralysis. But there are many manifestations and the disease does not match: ① onset is slow, developed into quadriplegia in a few days; ② polydipsia, polyuria more significant; ③ lesions involving the muscles above the neck, swallowing weakness and mouth opening difficulties; ④ In addition to the serum potassium decreased significantly, and serum chloride and carbon dioxide binding decreased; and the disease serum potassium decreased generally less, and more no other electrolytes and acid-base balance disorders;