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以周期性麻痹为主的远端肾小管酸中毒(RTA-Ⅰ)较为罕见,现报告1例。 患儿 女,12岁,四肢乏力、行走困难、两腿疼痛致软瘫卧床3～5天后自行恢复,近10个月来每月发作一次。发作频繁、口渴日饮水3L、日尿4L、软瘫持续4～5日。加重2个月,于1991年12月17日转我院。体检:血压12/8kPa,身高146cm,体重28kg,步态蹒跚,合作。咽稍充血,甲状腺不大。肺无异常,心音低钝,律齐,未闻杂音。腹软稍胀,肝脾不大,肠鸣弱。脊柱无侧弯,两腿轻度X形。腓肠肌压痛(+),肌力Ⅳ级,膝
Remote periodic tubular paralysis of distal tubular acidosis (RTA-Ⅰ) is relatively rare, is reported in 1 case. Children with children, 12 years old, limb weakness, walking difficulties, pain caused by painful legs paralyzed 3 to 5 days after the recovery on their own, nearly 10 months to once a month attack. Frequent episodes of thirst day drinking water 3L, 4L of urine, soft paralysis lasts 4 to 5 days. Increased two months, on December 17, 1991 transfer to our hospital. Physical examination: blood pressure 12 / 8kPa, height 146cm, weight 28kg, staggering gait, cooperation. Throat slightly hyperemic, thyroid is not big. No abnormal lungs, heart sounds low blunt, law Qi, no noise. Soft belly swollen, liver and spleen is not large, bowel weak. No lateral curvature of the spine, legs slightly X-shaped. Gastrocnemius tenderness (+), muscle strength Ⅳ, knee