Abbas Haider, Kothari Nikhil, Bogra Jaishri
Department of Anaesthesiology, King George's Medical University, Lucknow, India.
Natl J Maxillofac Surg. 2012 Jul;3(2):220-1. doi: 10.4103/0975-5950.111391.
Hypokalemic periodic paralysis is a rare genetic disorder characterized by recurrent attacks of skeletal muscle weakness with associated hypokalemia which is precipitated by stress, cold, carbohydrate load, infection, glucose infusion, hypothermia, metabolic alkalosis, anesthesia, and steroids. We encountered one such incidence of prolonged recovery after general anesthesia, which on further evaluation revealed a case of hypokalemic paralysis. The key to successful management of such a patient was vigilant pre-operative evaluation, perioperative monitoring, and aggressive treatment of hypokalemia when it occurs.
低钾性周期性麻痹是一种罕见的遗传性疾病，其特征为骨骼肌无力反复发作并伴有低钾血症，可由压力、寒冷、碳水化合物负荷、感染、葡萄糖输注、体温过低、代谢性碱中毒、麻醉和类固醇诱发。我们遇到了一例全身麻醉后恢复时间延长的病例，进一步评估发现是低钾性麻痹。成功管理此类患者的关键是术前进行细致评估、围手术期监测，以及低钾血症发生时积极治疗。
