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肾小管性酸中毒(下简称RTA)为无肾小球功能不全之肾小管功能不全症,是由于肾小管分泌氢离子和回吸碳酸氢离子障碍而引起的疾病。因临床症状复杂,易发生误诊或漏诊。现将遇到的1例报告如下。病历摘要许××,男,48岁。患者自1974年5月开始,因四肢无力伴麻木感反复发作,先后住院3次,每次均误诊为周期性麻痹(以下简称周麻)。1981年4月又复发,遂第4次入院。体检:体温、脉搏、呼吸、血压均正常。慢性病容,外观消瘦。心肺无异常。腹部
Renal tubular acidosis (hereinafter referred to as RTA) for renal tubular dysfunction without glomerular dysfunction, is due to tubule secretion of hydrogen ions and back to the absorption of bicarbonate ion disorders caused by the disease. Due to the complex clinical symptoms, misdiagnosis or missed diagnosis. Now encountered in 1 case report as follows. Medical record Xu × ×, male, 48 years old. Patients since May 1974, due to limb weakness with numbness recurrent, has 3 times in hospital, each were misdiagnosed as periodic paralysis (hereinafter referred to as Zhou Ma). April 1981 relapse, then the 4th hospitalization. Physical examination: body temperature, pulse, respiration, blood pressure are normal. Chronic disease, the appearance of weight loss. No abnormal heart and lung. abdomen