Hypokalemic periodic paralysis 31 cases.docVIP

 PAGE \* MERGEFORMAT 4 Hypokalemic periodic paralysis 31 cases [Keywords:] Clinical analysis of hypokalemic periodic paralysis Clinical hypokalemic periodic paralysis is not uncommon, is characterized by recurrent episodes of flaccid paralysis of a group of diseases, cause unknown, may be involved in skeletal muscle Erzhi potassium metabolism is related to more common to young adults, more men than women . hypokalemic periodic paralysis in order to analyze the clinical features, now in our hospital in December 2000 -2008 admitted to in December between the treatment of 31 cases of hypokalemic periodic paralysis following report. 1 Clinical data 1.1 General Information of this group 26 males and 5 females, aged from 15 to 71 years, of which 2 cases were 20 years of age, accounting for 6.45%, 20 to 29 years and 9 cases, accounting for 29.03%, 8 cases of 30 to 39 years old, accounting for 25.81 %, 40 to 49 years and 6 cases, accounting for 19.36%, 50 to 59 years in 4 cases, accounting for 12.90%, 60 to 71 years in 2 cases, accounting for 6.45%. the first incidence of 19 cases, recurrent in 12 cases, were in the middle of the night or early morning wake up sick. 1.2 inducement strenuous exercise or exertion in 11 cases, 4 cases of a meal, cold in 2 cases, 2 cases of mental stimulation, a variety of factors in 5 cases, no obvious incentive in 7 cases. 1.3 The clinical manifestations were acute onset, the main symptoms of progressive weakness, flaccid paralysis were proximal weight, there is a sense of paralysis swelling, knee reflex, accompanied by palpitations, chest tightness, and sweating, thirst and oliguria and so on. a clear consciousness, no neck muscle involvement in all cases, no sensory impairments. Check 1.4 Auxiliary EKG: are , , aVF ST-segment depression in leadgt; = 0.05mV. Blood, urine normal; significantly lower serum potassium, serum potassium normal for the 3.5 ~ 5.5mmol / L, potassium In 2.00mmol / L the following 4 cases, mor