目的：探讨以周期性麻痹为首诊的甲状腺功能亢进的临床特点，为在急诊诊断及治疗中积累临床资料。方法：回顾性分析笔者所在医院收治的32例以周期性麻痹为首诊的甲状腺功能亢进患者临床资料。结果：(1)好发于青壮年男性；(2)主要表现为对称性瘫痪；(3)81.25%患者发病前有明显诱因，部分患者在清晨发病；(4)抽血均显示低钾血症；(5)麻痹症状在补钾治疗后缓解。结论：周期性麻痹为首诊的甲状腺功能亢进患者，青壮年男性居多，临床对称性瘫痪是其特征，且以下肢为主，诊断中低钾多见。%Objective:To explore the clinical feature which led by periodic paralysis diagnosis of hyperthyroidism,accumulated clinical data in emergency department.Method:The clinical data of 32 patients which led by periodic paralysis,initial diagnosis of hyperthyroidism in emergency department were retrospectively analyzed.Result:(1)It occurred especially in young adults.(2)Mainly for symmetry paralysis.(3)81.25% had significant incentives,some occurred early after awakening.(4)The incidence of serum potassium levels were lower than normal.(5)The symptoms remissioned after potassium treatment. Conclusion:The patients which led by periodic paralysis first diagnosis of hyperthyroidism,have a higher predilection for young men,clinical symmetry are characterized by paralysis and mainly in the lower limbs,diagnosise of low potassium.
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