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男患者,25岁。因反复发作双下肢软瘫伴多食、怕热、乏力2年,复发15天,于1991年3月入院。两年前曾因以上症状在本院诊断为“甲亢合并周期性麻痹”,经药物治疗好转,于入院前3个月停药。半月前出现两次软瘫,均为夜间发病。体检:T36.3℃,P100次/分,R19次/分,Bp18/10kPa,皮肤潮湿多汗。无眼球突出,甲状腺Ⅱ度大,质软,无血管杂音,双肺正常,心界不大,无病理杂音。肝脾不大,双手细
Male patient, 25 years old. Due to recurrent double lower limbs with paralysis and more food, fear of heat, fatigue for 2 years, 15 days recurrence, in March 1991 admitted. Two years ago because of the above symptoms in our hospital diagnosed as “hyperthyroidism complicated with periodic paralysis,” improved by drug treatment, discontinued 3 months before admission. Twice a month ago appeared soft paralysis, are at night incidence. Physical examination: T36.3 ℃, P100 beats / min, R19 beats / min, Bp18 / 10kPa, wet and sweaty skin. No eyeballs prominent, thyroid Ⅱ degree, soft, no vascular noise, normal lungs, the heart is not big, no pathological murmur. Small spleen and liver, his hands thin