临床误诊误治2012，Vol.25Issue(2)：51-53,3.DOI:10.3969/j.issn.1002-3429.2012.02.022
滥用联邦止咳露糖浆致低钾性麻痹的临床分析
Clinical Analysis of Serious Kaliopenia Induced by Abuse of Anticol Cough Syrup Addict
黄晓勇 1朱信云 1黄志军 1单爱军 1彭朝林1
作者信息
- 1. 518020广东深圳,深圳市人民医院急诊科
- 折叠
摘要
Abstract
Objective To investigate the inducing causes and clinical characteristics in patients with hypokalemia paralysis attributed to Anticol Cough Syrup abuse. Methods The clinical data of 16 patients of hypokalemia paralysis attributed to Anticol Cough Syrup abuse were retrospectively analyzed. Results The time of Anticol Cough Syrup Addicts abuse of 16 patients were 3-30 months, who took large doses of Anticol Cough Syrup within 24 h before the symptom disappeared. All the patients suffered from ex tremity myodynamia paralysis, and couldnf walk. Proximal end was severer than distal end, and those of lower extremity were seve rer than that of upper extremity, and there were recurrent attacks of paralysis. Tendon reflexes were normal or weakened, without sensory disturbances. Pathological syndrome was negative. 2 patients had mild psychiatric symptoms such as insomnia, excitement, and transient visual hallucination, 3 patients had serious diarrhea. The blood kalium of 16 patients were 1.4-2.3 mmol/L. Creatine kinase were a little higher than normal value, and ECG showed changes in U Wave, long Q-T, and ST segment depression. After kalium was given intravenously or orally, the patients recovered quickly. Conclusion Abuse of Anticol Cough Syrup may cause se rious hypokalemia, so physicians and patients should be cautioned against it.关键词
止咳化痰平喘剂/联邦止咳露糖浆/药物不良反应/低钾性麻痹Key words
Zhi ke hua tan ping chuan agent/ Anticol Cough Syrup/ Drug adverse reaction/ Hypokalemic paralysis分类
医药卫生引用本文复制引用
黄晓勇,朱信云,黄志军,单爱军,彭朝林..滥用联邦止咳露糖浆致低钾性麻痹的临床分析[J].临床误诊误治,2012,25(2):51-53,3.
