彭超英 蒲传强 2004-8-8 15:20:40 中国神经免疫学和神经病学杂志 1999年第4期第6卷 论著

    摘要 目的 探讨周期性麻痹的临床特点。方法 分析 110 例周期性麻痹病例的临床表现及辅助检查结果。结果 50% 的患者继发于甲亢， 肌腱反射正常和活跃者占 56%， 40 例有血清肌酸磷酸激酶 (CPK) 结果者 65% 有升高， 97 例有 ECG 结果者 61% 出现典型的低血钾 ECG 表现。结论 周期性麻痹继发于甲亢的高比例应引起临床重视； 本病可出现肌腱反射正常或活跃以及血清 CPK 升高； 简单的 ECG 检查有助于及时确诊本病。

    中图号 R746

    Study of 110 Patients with Periodic Paralysis

    Peng Chaoying Pu Chuanqiang

    (Department of Neurology, Chinese PLA General Hospital, Beijing 100853)

    Objective To study the clinical features of periodic paralysis.Methods The clinical features of 110 patients with periodic paralysis were analysed.Results 55 cases (50%) were secondary to Graves′s disease. Sixty-two cases (56%) showed normal or higher deep tendon reflexes. There were 26 cases (65%) showed high level serum CPK in 40 cases tested for serum CPK. There were 59 cases (61%) showed typical ECG of hypokalemia in 97 cases tested for ECG.Conclusion The high rate of periodic paralysis was secondary to Graves's disease in our study. Some patients with periodic paralysis may occur with high level of serum CPK and normal or high deep tendon reflexes. ......