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病例王××,女,20岁。1984年5月5日因恶心,呕吐,厌食,腹胀,持续性肌无力,双手及口唇麻木乃至不能说话。急检血K~+1.8mmol/L,以低血钾收入院。1983年曾出现过2次上述症状,血 K~+分别为3.5mmol/L,3.0mmol/L,住院补 K~+,未确诊出院。查体:Bp14.6/9.9。心、肺、腹均未见异常,四肢肌力弱,腱反射对称性低下,病理反射未引出。实验室检查:血 K~+1.8,血Ca~(?)2.07,血 P0.92,血 Na~+139,血 Cl~-105,CO_2CP22,BuN2.78,尿酸345,AKP130,动脉血 PH7.498,前列腺素3367ng/L。
Case Wang × ×, female, 20 years old. May 5, 1984 due to nausea, vomiting, anorexia, bloating, persistent muscle weakness, numbness in both hands and lips and can not even speak. Urgent blood test K ~ + 1.8mmol / L, hypokalemia income hospital. In 1983 there have been 2 times the above symptoms, blood K ~ + were 3.5mmol / L, 3.0mmol / L, hospital fill K ~ +, was not diagnosed and discharged. Physical examination: Bp14.6 / 9.9. Heart, lung, abdominal were no abnormalities, weak limbs, tendon reflex symmetry is low, the pathological reflex did not lead. Laboratory tests: blood K ~ + 1.8, blood Ca ~ (?) 2.07, blood P0.92, blood Na ~ +139, blood Cl ~ -105, CO_2CP22, BuN2.78, uric acid 345, AKP130, arterial blood PH7. 498, prostaglandin 3367 ng / L.