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张××男 46岁 1961年发现肺结核,治疗2年,病变稳定。1985年4月18日,因发热、咳嗽,体温38～39℃半月余,肌注SM2日,服INH及RFP一周未见好转来诊。检查:体温36℃、脉博80次,呼吸16次,血压100/68mmHg。一般情况好,皮肤巩膜无黄染,表浅淋巴结不肿大,颈软、甲状腺不肿大,心界不大、心率80次、律齐、未闻及杂音,腹软、肝脾未触及,膝反射存在,巴氏征(一)。诊为浸润型肺结核,进展期,痰集菌阴性,入院后予以每日INH、0.3,EMB0.75。服药两周后出现全身痠懒,尤以下肢为著,继服至第25日,患者下肢不能行走。查肌张力低、膝反射弱,急查血钾2.5mEq/L,心电图示正常。立即给予静滴10％K
Zhang XX male 46 years old found tuberculosis in 1961, treatment for 2 years, stable disease. April 18, 1985, due to fever, cough, body temperature 38 ~ 39 ℃ more than half a month, SM2 intramuscular injection, serving INH and RFP did not improve the week visit. Check: body temperature 36 ℃, pulse Bo 80 times, breathing 16 times, blood pressure 100/68 mmHg. Under normal circumstances, the skin sclera without yellow dye, superficial lymph nodes is not swollen, neck soft, thyroid is not swollen, heart, heart rate 80 times, law Qi, no smell and noise, abdominal soft, liver and spleen not touched, Knee reflex exists, Pakistan sign (a). Diagnosis of invasive pulmonary tuberculosis, advanced, sputum negative bacteria, admitted to hospital daily INH, 0.3, EMB0.75. After two weeks of taking systemic lazy body, especially in the lower extremity, following the service until the 25th, the patient can not walk the lower extremities. Check muscle tension is low, weak knee reflex, acute check serum potassium 2.5mEq / L, ECG showed normal. Immediately give intravenous infusion of 10% K