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例1:男,19岁。因全身乏力1 d,于2002年10月2日17:00时以“低钾血症”急诊入院。无类似发作史,家族中无类似病史。近几天进食减少。PE:T 27.0℃,P 80次/min,R20次/min,BP 140/100 mm Hg,神清,发育正常,被动体位,卧位,全身皮肤(-),头颅五官(-),双肺(-),HR 80次/min,律整无杂音,腹(-)。上肢肌力Ⅳ级,肌张力正常,双下肢肌力Ⅰ级,肌张力下降,腹壁反射、膝反射、跟腱反射减弱,病理反射征(-)。辅助检查:心电图示低血钾。血清 K~+0.33 mmol/L。血常规和血清 Na~+、Cl~-、Ca~(++)、血糖无异常。同年11月2日第2次住院。心电图示低血钾。血清 K~+1.8mmol/L,血清酶 ALT 105 u/L。
Example 1: Male, 19 years old. Due to generalized fatigue 1 d, at 2:00 pm on October 2, 2002 to “hypokalemia ” emergency admission. No similar episodes of history, no similar family history. Fewer meals in recent days. PE: T 27.0 ° C, P 80 beats / min, R 20 beats / min, BP 140/100 mm Hg, clear, normal development, passive position, supine position, (-), HR 80 beats / min, law no noise, belly (-). Upper limb muscle strength Ⅳ, normal muscle tone, muscle strength of both lower extremities Ⅰ grade, decreased muscle tone, abdominal reflex, knee reflex, Achilles tendon reflex, pathological reflex sign (-). Auxiliary examination: ECG shows hypokalemia. Serum K ~ + 0.33 mmol / L. Blood and serum Na ~ +, Cl ~ -, Ca ~ (++), no abnormal blood glucose. The second hospitalization on November 2 of the same year. ECG shows hypokalemia. Serum K ~ + 1.8mmol / L, serum enzyme ALT 105 u / L.