重庆医学2012，Vol.41Issue(14)：1385-1386,2.DOI:10.3969/j.issn.1671-8348.2012.14.015
惊恐障碍误诊为低钾性周期性瘫痪的临床分析
Clinical analysis on 7 cases of panic disorder misdiagnosed as hypokalemic periodic paralysis
文世全 1段劲峰 1冯由军1
作者信息
- 1. 四川省绵阳市中心医院神经内科,621000
- 折叠
摘要
Abstract
To analyze the clinical differential diagnostic method of panic disorder and hypokalemic periodic paralysis for reducing misdiagnosis. Methods 7 cases of panic disorder (panic disorder group) misdiagnosed as hypokalemic periodic paralysis in the emergency department from January 2008 to January 2011 and contemporaneous 192 cases of hypokalemic periodic paralysis (hypokalemic periodic paralysis group) as control were selected. The partial clinical data were compared between the two groups. Results The average muscle strength was (3. 7 + 0. 81) grades in the panic disorder group and (2. 4 + 0. 84) grades in the hypokalemic periodic paralysis group;the average serum potassium level was (3. 1 + 0. 56)mmol/L in the panic disorder group and (2. 3 + 0. 83)mmol/L in the hypokalemic periodic paralysis group,showing statistical difference between the two groups(P＜0. 05). Conclusion The patient with acute onset and limb asthenia complicating obvious anxiety mood should be considered the possibility of panic disorder for reducing misdiagnosis.关键词
惊恐病/低钾性周期性麻痹/误诊/诊断,鉴别Key words
panic disorder/hypokalemic periodic paralysis/diagnostic errors/diagnosis,differential引用本文复制引用
文世全,段劲峰,冯由军..惊恐障碍误诊为低钾性周期性瘫痪的临床分析[J].重庆医学,2012,41(14):1385-1386,2.
