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周期性麻痹临床表现有反复发作骨骼肌瘫痪,腱反射减弱或消失,无感觉障碍及病理反射,而膝反射亢进者极为罕见.现报告1例如下。患者,女性,36岁,农民,于91年1月5日因体力劳动后自觉周身疲倦,翌日晨起下地时突然发现双下肢无力,1小时后双上肢也感无力,同时伴有呼吸费力,无发烧及吞咽困难,无尿便障碍。既往史:半年前有过上述症状,在当地补钾治疗后,治愈。T_3T_4(当地检查)正常。查体:体温36.0℃,脉搏96次/分,呼吸18次/分,血压16/11kPa,内科系统未见异常。神志清,语言流利,眼底正常,颅神经未见异常,上下肢肌力为Ⅱ级、肌张力无明显增强.双侧膝反射亢进、踝阵挛阳性,无感觉障碍及病理反射。
Periodic paralysis clinical manifestations of recurrent skeletal muscle paralysis, tendon reflexes diminish or disappear, no sensory disturbances and pathological reflex, and knee hyperreflexia were extremely rare. Patient, female, 36 years old, farmer, on January 5, 91, after physical labor, he felt tired and exhausted himself. Suddenly he found his weakness in the lower extremities on the following morning. After 1 hour, his upper extremities were also feeling weak, No fever and difficulty swallowing, no urinary problems. Past history: Six months ago had the above symptoms, after the local potassium treatment, cure. T_3T_4 (local inspection) is normal. Physical examination: body temperature 36.0 ℃, pulse 96 beats / min, breathing 18 beats / min, blood pressure 16 / 11kPa, internal medicine system no abnormalities. Consciousness, fluent language, normal eyes, no abnormal cranial nerves, upper and lower extremity muscle strength of grade Ⅱ, no significant increase in muscle tone. Bilateral knee hyperactivity, positive ankle clonus, no sensory disturbances and pathological reflex.