Tassone Heather, Moulin Aimee, Henderson Sean O
Department of Emergency Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA.
J Emerg Med. 2004 Feb;26(2):157-61. doi: 10.1016/j.jemermed.2003.05.004.
Thyrotoxic Periodic Paralysis is an uncommon disorder seen primarily in Asian males and caused by excessive thyroid hormones. This is an endocrine emergency that can lead to respiratory failure, dysrhythmia, and death. The mainstay of therapy has been potassium replacement, however, recent evidence suggests propranolol is a more effective therapy. We present a severe case of TPP in a 22-year-old Latino male with rapidly progressive ascending paralysis and hypokalemia severe enough to lead to cardiac arrest.
甲状腺毒症性周期性瘫痪是一种主要见于亚洲男性的罕见疾病，由甲状腺激素过多引起。这是一种可导致呼吸衰竭、心律失常和死亡的内分泌急症。治疗的主要方法一直是补钾，然而，最近的证据表明普萘洛尔是一种更有效的治疗方法。我们报告了一例22岁拉丁裔男性的严重甲状腺毒症性周期性瘫痪病例，其具有快速进展的上行性麻痹和严重低钾血症，足以导致心脏骤停。
