Hypokalemic periodic paralysis six cases of clinical diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 5 Hypokalemic periodic paralysis six cases of clinical diagnosis and treatment of [Keywords:] potassium treatment of hypokalemia Periodic Periodic paralysis is a group of potassium metabolism and metabolic diseases. Hypokalemic periodic paralysis and hypokalemia due to a sudden change in condition, often with movement, circulation, respiratory symptoms of serious outstanding performance, easily misdiagnosed, mis-governance, worse. Now that I encountered six cases of hospital diagnosis and treatment in recent years, reported the following: A clinical data 1.1 General Information A total of 6 patients in this group, 5 males, 1 female patients aged 18-42 years, are limb weakness to consultation. 1.2 Case Summary 1 cases of male, 40 years old, drinking white wine (150ml), after falling asleep, wake up after limb weakness, falling out of bed to walk the course, with nausea, vomiting, a times, the unconscious barriers and urinary incontinence to be patient, HR92 times / min, BP88 / 58mmHg, God-ching, fear, tendon reflexes, establish intravenous access Across ECG examination process, the sudden loss of consciousness, accompanied by convulsions, ECG confirmed the frequent occurrence of multi-source room early, sinus rhythm, heart rate 94 beats / points, T-wave low, flat, U-waveamp;gt; T-wave, ST segment depression, serum potassium 1.87mmol / L, by intravenous infusion and oral potassium chloride in sufficient quantities, the Aspen syndrome was quickly brought under effective control, consciousness recovery, continue oral potassium chloride 30ml / h, a total of 3 hours, limb muscle strength recovery, a normal ECG. There have been asked a history of weak short-term history of lower limbs, thyroid function was normal with no family history. 1 case of women, 42 years old, repeated limb weakness for 2 years, this limb weakness increased, not self-walking, loss of appetite, indifference to patient. HR104 times / min, BP92/60mmHg, God-ching, thyro