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此病为临床上少见病例,现将我院发现一例报告如下: 患者男性,36岁,8年来吃水果蔬菜后多次发生双下肢驰缓性瘫痪。82年8月25日食用大量西红柿后4小时先感双下肢无力继而瘫痪,急诊入院。查体:Bp:120/80mmHg,一般检查均正常。双下肢肌力Ⅰ级,肌张力减弱,腱反射(+),锥体束征未引出,无深浅感觉障碍。血常规正常,血钾26mg％,心电图T波呈峰型增高,符合高血钾型改变。经应用20％葡萄糖500ml加普通胰岛素16单位快速静滴治疗,患者肢体功能恢复,第二天出院。经随访,患者食低钾食物,当感体肢无力时服用葡萄糖粉,2年来从未发作。无家族史。
The disease is clinically rare cases, now found in our hospital a case report is as follows: Male patients, 36 years old, eight years after eating fruits and vegetables occurred several times lower limb Chi slow paralysis. August 25, 82, after eating a lot of tomatoes 4 hours after the first sense of weakness and paralysis of both lower extremities, emergency admission. Physical examination: Bp: 120 / 80mmHg, normal examination are normal. Lower extremity muscle strength Ⅰ, weakened muscle tone, tendon reflexes (+), pyramidal tract signs did not lead to, no deep sensory disturbances. Normal blood, serum potassium 26mg%, ECG peak T wave was increased, in line with changes in hyperkalemia. The application of 20% glucose 500ml plus normal intravenous infusion of 16 units of rapid intravenous infusion, the patient recovered limb function, discharged the next day. After follow-up, patients with low-potassium foods, when feeling physically weak when taking glucose powder, 2 years never attack. No family history.