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目的探讨低钾性周期性麻痹(HOKPP)的临床特点、诊断及治疗。方法对52例低钾性周期性麻痹患者的一般情况、临床表现及辅助检查结果进行回顾性分析。结果 52例患者中,大部分病例有较明显诱因;原发性36例,其中有家族史者6例,散发30例;继发于甲亢者16例。经过口服和静脉注射钾后,全部病例均痊愈出院。结论血清钾及心电图的检查有利于早期诊断及治疗HOKPP。继发性HOKPP者要加强原发病治疗,避免各种诱因是防止复发的关键。
Objective To investigate the clinical features, diagnosis and treatment of hypokalemic periodic paralysis (HOKPP). Methods 52 patients with hypokalemic periodic paralysis in the general situation, clinical manifestations and laboratory examinations were retrospectively analyzed. Results Of the 52 patients, most of the cases had obvious incentive; 36 cases had primary family history, of which 6 cases had family history, 30 cases were distributed; 16 cases were secondary to hyperthyroidism. After oral and intravenous injection of potassium, all cases were cured and discharged. Conclusion The examination of serum potassium and electrocardiogram is helpful for the early diagnosis and treatment of HOKPP. Secondary HOKPP to strengthen the treatment of primary disease, to avoid a variety of incentives is the key to preventing recurrence.