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病例1 女性 45岁病案号478733 患者于1988年2月无明显诱因出现双下肢疼痛,半月后双上肢亦疼痛,1月后晨起突然四肢不能活动,感觉正常,无尿、便失禁。查血清K3.3mmol/L,诊断为周期性麻痹。补K后症状缓解。以后又多次出现发作性四肢瘫痪,发病时间与症状基本同第一次,血清K2.2～3.3mmol/L,补K后四肢肌力均明显好转。5个月来全身疼痛加重,四肢无力,行走困难,口服及静脉补K症状不能缓解。1991年5月21日转来本院。既往无肾炎、肝炎及其它自身免疫疾病史。体检除双上肢肌力Ⅳ级、双下肢肌力Ⅲ级及腰椎压痛外,余未见异常。血清K3.2mmol/L,Cl 115 mmol/L,Na 143
Case 1 Female 45 years old Case number 478733 In February 1988, there was no obvious incentive for patients with lower extremity pain. After half a month, the upper extremities also ached. In the early morning after January, they suddenly could not move their limbs. They felt normal and had no urine and incontinence. Serum K3.3mmol / L, diagnosed as periodic paralysis. Replenishment of symptoms after K. Subsequent onset of multiple episodes of paralysis of the limbs, the onset time and symptoms were basically the same for the first time, serum K2.2 ~ 3.3mmol / L, make up K after the limb muscle strength were significantly improved. 5 months to increase body aches, weakness, walking difficulties, oral and intravenous fill K symptoms can not be alleviated. May 21, 1991 transferred to the Court. No past history of nephritis, hepatitis and other autoimmune diseases. Physical examination in addition to the upper limb muscle strength Ⅳ, Ⅲ lower limb muscle strength and lumbar tenderness, I no abnormalities. Serum K3.2mmol / L, Cl 115 mmol / L, Na 143