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目的:探讨以周期性麻痹(TPP)为首发症状的甲状腺功能亢进(甲亢)的临床特点。方法:对25例以周期性麻痹为首发的甲亢患者的临床资料进行回顾性分析。结果:本组病例均为青年男性,发作时首发症状有不同程度四肢软瘫,血存在血钾降低,T3、T4高于正常,TSH下降。结论:甲亢周期性麻痹以年轻男性多发,治疗上补钾治疗可迅速改善症状,减少死亡率,抗甲状腺治疗是控制甲亢周期性麻痹复发的关键。
Objective: To investigate the clinical features of hyperthyroidism (hyperthyroidism) with periodic paralysis (TPP) as the first symptom. Methods: The clinical data of 25 patients with hyperthyroidism caused by periodic paralysis were retrospectively analyzed. Results: All the cases were young men. The first symptom of the episode was extremity flaccid paralysis, blood potassium was decreased, T3 and T4 were higher than normal and TSH was decreased. Conclusion: The frequent hyperthyroidism paralysis occurs in young men. Treatment with potassium can rapidly improve the symptoms and reduce the mortality rate. Anti-thyroid treatment is the key to control recurrence of hyperthyroidism periodic paralysis.