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低钾软病为近十多年来流行于我省农村棉产区的一种地方病,临床主要以低血钾软瘫为特征。典型病例诊断不难,但若症状不典型时常可造成误诊。现将我们的误诊病例介绍如下。【例1】女,13岁,学生。因“四肢瘫痪3天、呼吸无力2天,伴烦渴、多饮、多尿”,于1983年11月15日入院。曾在当地静滴氯化钾3克、地塞米松10毫克1日无效,以“急性多发性神经根神经炎”收住院。病人来自棉产区,近两年来进食粗制生棉油,家族中无类似病人。体检:体温38℃,呼吸15次/分,
Low potassium soft-degeneration is a endemic disease prevailing in the rural cotton producing areas of our province for more than ten years. The clinical features mainly include hypokalemia and soft paralysis. Typical case diagnosis is not difficult, but if the symptoms are not typical can often cause misdiagnosis. Now we misdiagnosed cases are as follows. [Example 1] Female, 13 years old, student. Due to “limbs paralyzed for 3 days, 2 days of respiratory insufficiency, with polydipsia, polydipsia, polyuria”, in November 15, 1983 admission. In the local intravenous infusion of 3 grams of potassium chloride, dexamethasone 10 mg on the 1st invalid to “acute multiple nerve root neuritis” admitted to hospital. Patients from the cotton-producing areas, eating crude raw cottonseed oil in the past two years, no similar family of patients. Physical examination: body temperature 38 ℃, breathing 15 beats / min,