hypokalemia periodic paralysis causes of 121 cases of paper（121例低血钾周期性麻痹的原因）.docVIP

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hypokalemia periodic paralysis causes of 121 cases of paper（121例低血钾周期性麻痹的原因）.doc

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hypokalemia periodic paralysis causes of 121 cases of paper（121例低血钾周期性麻痹的原因）

Hypokalemia periodic paralysis Causes of 121 cases of paper Paper Network: [Abstract] Objective To investigate hypokalemia periodic paralysis pathogenesis, predisposing factors, clinical manifestations and emergency treatment. Methods of 121 patients with low serum potassium in patients with clinical data were retrospectively analyzed, and its track hospital The results of hypokalemia 95 cases of primary, secondary in 26 cases, of which 20 cases of hyperthyroidism, hyperaldosteronism in 6 cases. before the onset of significant incentives, and more at night or early morning when you awake after sleep onset. usually limbs flaccid weakness, with both lower extremities as the most important, can occur in patients with severe arrhythmias and respiratory muscle paralysis, 119 patients with oral and intravenous potassium, combined magnesium sulfate, spironolactone symptoms disappeared completely after treatment, 2 patients died of respiratory muscle paralysis and malignant arrhythmia. conclusion early diagnosis and treatment is Key for obvious causes, emphasizing early rehydration salts, removal of predisposing factors. potassium, ECG anti-shock and anti-arrhythmic drug therapy is rescue ventilation major success, and should strengthen the cause of treatment. [Keywords] cause of treatment of hypokalemia Hypokalemia periodic episodes of periodic paralysis is a flaccid paralysis of neuromuscular disease characterized by the majority of metabolic abnormalities associated with potassium, in part to familial periodic paralysis, patients are conscious, awake after sleep onset or early morning No objective sensory abnormalities, severe cases can be due to malignant arrhythmias and life-threatening respiratory muscle paralysis, is a common medical emergency, while severe hypokalemia type high mortality, it should be timely and effective emergency treatment, now admitted to our department 121 cases of hypokalemic periodic paralysis patients with clinical data were retrosp