Hypokalemic periodic paralysis Clinical analysis of 40 cases.docVIP

 PAGE \* MERGEFORMAT 9 Hypokalemic periodic paralysis Clinical analysis of 40 cases Periodic paralysis (PP) is a sudden recurrent flaccid paralysis of skeletal muscle characterized by a group of muscle diseases. Clinically, a low potassium-type most common in recent years, the cause of this disease have a new understanding. Now in our hospital in October 2000 ~ March 2006 between the 40 cases treated hypokalemic PP (HOPP) with literature analysis is as follows. A clinical data 1.1 General Information of this group of 28 males and 12 females, aged 19 to 63 years old, with an average of 30.4 years. 18 cases for the first time seizures, 22 cases had history of recurrent seizures. Onset to treatment time, more in 12h or less, individual mild symptoms in the 2 ~ 3 days. 1.2 incidence of incentives can be found in 32 cases of clear incentives; fatigue, strenuous exercise, a large number of sweat were 15 cases. On the sense of fever, injection of dexamethasone or hydrocortisone all 4 cases. Guo meal, drinking 2 cases. Diarrhea in 2 cases. Insulin 1 case, agitation, anxiety, 1 patient each. 18 patients had prior to the onset Suanzhang limbs, numbness, slight pain. 1.3 All patients had acute onset of clinical manifestations, mostly occurs at night or morning when you wake up, the performance of flaccid paralysis of the limbs, most of the sexual, both lower extremities started on both sides of symmetrical, proximal heavy, remote light. 6 patients with muscle pain, limb numbness in 7 cases, palpitations, palpitation, chest tightness in 11 cases, 4 cases of nausea, dizziness or vertigo in 5 cases, 2 cases of limb tremor, shock in 3 cases, respiratory muscle involvement in 1 case, the recent weight loss, Heat intolerance , sweating in 5 cases. Pairs of lower limb muscle strength 0 ~ 1 in 23 cases, 2 in 10 cases, 3 ~ 4 in 7 cases, pairs of upper limb muscle strength 0 ~ 1 in 14 cases, 2 ~ 3 in 17 cases, 4 ~ 5 9 cases, the limbs feel normal, tendon reflexes, sign