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目的:通过对甲状腺机能亢进伴低血钾麻痹病人的分析,了解甲状腺机能亢进病人出现低血钾麻痹可能的机制。方法:对35例甲状腺机能亢进伴低血钾麻痹病人的临床资料和实验室资料进行统计分析。结果:在35例甲状腺机能亢进伴低血钾麻痹的病人中,仅9例有甲状腺亢进的症状和(或)体征(约占25.7％),而75％病人只表现为四肢无力,因此容易被误诊、漏诊。明确诊断后,在补钾的同时,加用抗甲状腺药物,且做到足量、够疗程。应注意甲状腺机能亢进性复发时低血钾麻痹的复发。结论:对于甲状腺机能亢进引起的低血钾麻痹,应注意早期诊断,并作正规治疗。
OBJECTIVE: To understand the possible mechanism of hypokalemia paralysis in hyperthyroidism patients by analyzing the patients with hyperthyroidism and hypokalemia. Methods: The clinical data and laboratory data of 35 patients with hypothyroidism and hypokalemia were analyzed statistically. RESULTS: Of the 35 patients with hyperthyroidism and hypokalemia who were paralyzed, only 9 had symptoms and / or signs of hyperthyroidism (approximately 25.7%), whereas 75% showed only weakness in the extremities and were therefore easily Misdiagnosis, missed diagnosis. A clear diagnosis, while potassium, plus anti-thyroid drugs, and to do enough, enough course of treatment. Should pay attention to the recurrence of hypokalemia paralysis of hyperthyroidism recurrence. Conclusion: Hypokalemia due to hyperthyroidism caused by paralysis, should pay attention to early diagnosis, and for formal treatment.