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目的探讨甲状腺机能亢进(以下简称甲亢)性周期性麻痹的临床特点。方法回顾分析26例甲亢性周期性麻痹的临床资料。结果 26例发作时均有不同程度的双下肢或四肢软瘫同时伴有血钾降,FT3、FT4高于正常,TSH降低。结论甲亢性周期性麻痹以年轻男性多发,补钾治疗可迅速改善症状,抗甲亢治疗是控制甲亢性周期性麻痹复发的关键。提示受凉、感染、酗酒、过度疲劳、剧烈运动、饱餐等可诱发甲亢性周期性麻痹的发作,应注意避免。
Objective To investigate the clinical features of hyperthyroidism (hereinafter referred to as hyperthyroidism) periodic paralysis. Methods Retrospective analysis of 26 cases of hyperthyroidism periodic paralysis clinical data. Results All 26 cases had different degrees of bilateral lower extremities or extremities with paralysis accompanied by serum potassium lowering, FT3, FT4 higher than normal and TSH decreasing. Conclusions Hyperthyroidism periodic paralysis occurs frequently in young males. Treatment with potassium can rapidly improve the symptoms. Anti-hyperthyroidism treatment is the key to control recurrence of hyperthyroidism periodic paralysis. Tip cold, infection, alcoholism, fatigue, strenuous exercise, full meal and other can induce hyperthyroidism periodic paralysis episode, should be avoided.