Eve O, Soubirou J-L, Crevon L, Martinez J-Y, Escarment J
Département urgence anesthésie et réanimation, hôpital d'instruction des Armées Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France.
Ann Fr Anesth Reanim. 2004 Jul;23(7):745-7. doi: 10.1016/j.annfar.2004.03.018.
Thyrotoxic hypokaliaemic paralysis is a rare cause of severe hypokalaemia. We report the case of a 34-year-old Asiatic man who presented in our emergency department an episode of quadriplegia due to low plasma potassium levels. Biological test discovered a Basedow disease, confirmed thyrotoxic paralysis. Intravenously potassium treatment allowed complete recovery from paralysis. Also, the patient received specific medical treatment with antithyroid drugs and propranolol.
甲状腺毒症性低钾性麻痹是严重低钾血症的罕见病因。我们报告一例34岁亚洲男性病例,该患者因血浆钾水平低在我院急诊科出现四肢瘫痪发作。生物学检查发现了巴塞多氏病,确诊为甲状腺毒症性麻痹。静脉补钾治疗使患者完全从麻痹中恢复。此外,患者接受了抗甲状腺药物和普萘洛尔的特异性药物治疗。