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本文报告3例低钾性周期性麻痹引起的呼吸肌麻痹。2例诊断为散发性低钾性周期性麻痹,1例诊断为甲状腺功能亢进合并低钾性周期性麻痹。鉴于中国和日本的甲亢患者合并本病者远较西方国家为多,建议中年男性首发低钾性周期性麻痹患者应检查甲状腺功能。凡有呼吸肌麻痹的病人,应急查血钾和心电图,在结果未回报前,凡疑似本病者应慎用高渗葡萄糖或含胰岛素的能量合剂。一旦出现呼吸困难的迹象,应及早做气管切开和使用人工呼吸机,这是抢救成功的关键。
This article reports 3 cases of hypokalemic periodic paralysis caused by respiratory muscle paralysis. Two cases were diagnosed as sporadic hypokalemic periodic paralysis, and one case was diagnosed as hyperthyroidism complicated with hypokalemic periodic paralysis. Given that patients with hyperthyroidism in China and Japan are far more likely than western countries to combine this disease, thyroid function should be examined in patients with first-episode hypokalemic periodic paralysis in middle-aged men. Where respiratory muscle paralysis patients, emergency check potassium and ECG, before the results did not return, where the suspected patients should be used with caution Hypertonic glucose or insulin-containing energy mixture. Once signs of dyspnea, tracheostomy should be done early and use of artificial respirator, which is the key to the success of the rescue.