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[低钾血症与麻痹:考虑甲状腺问题]

[Hypokalaemia and paralysis: think about the thyroid].

作者信息

Balde M C, Adrar E H, Bechara K, Prinseau J, Baglin A, Hanslik T

机构信息

Service de médecine interne, hôpital Ambroise-Paré, Assistance Publique-Hôpitaux de Paris, université Versailles-Saint-Quentin-en-Yvelines, 92104 Boulogne-Billancourt, France.

出版信息

Rev Med Interne. 2008 Feb;29(2):155-7. doi: 10.1016/j.revmed.2007.07.013. Epub 2007 Sep 21.

Abstract

Periodic hypokalemic paralysis can be of genetic origin or secondary to other causes of hypokalaemia. The thyreotoxic hypokalemic periodic paralysis (THPP) usually occurs among asian subjects. It is a diagnostic and therapeutic emergency which may lead to life-threatening complications due to hypokalaemia and muscle weakness. The potassium supplementation is followed by a complete recovery after a few hours. We underlined the interest of thyroid assays in patients having an acute muscular paralysis associated with hypokalaemia.

摘要

周期性低钾性麻痹可源于遗传或继发于其他低钾血症病因。甲状腺毒症性低钾性周期性麻痹(THPP)通常发生在亚洲人群中。它是一种诊断和治疗的急症,由于低钾血症和肌肉无力可能导致危及生命的并发症。补钾后数小时即可完全恢复。我们强调了对伴有低钾血症的急性肌肉麻痹患者进行甲状腺检查的意义。

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