PDF(Pubmed)
Abstract：
Primary hypokalaemic periodic paralysis during pregnancy has been rarely reported. Four pregnant women with the acute onset of flaccid paralysis presented between January 2018 and December 2021. Focussed history and physical examination helped an appropriate radiological and laboratory investigation plan to be made. All women recovered within 4-7 days of potassium supplementation. Supplemental potassium continued until delivery. A pain management plan with continuous epidural infusion helped in avoiding stress-induced hypokalaemia. None of the women developed an episode of muscle weakness during the intervening period. In conclusion, a focussed history and targeted laboratory investigation are needed to diagnose primary hypokalaemic periodic paralysis. Early administration of oral or intravenous potassium is crucial in improving fetomaternal outcomes.
摘要：
怀孕期间原发性低钾血症性周期性麻痹的报道很少。在2018年1月至2021年12月期间出现了四名急性弛缓性麻痹的孕妇。集中的病史和体格检查有助于制定适当的放射学和实验室调查计划。所有妇女在补钾后4-7天内恢复。持续补充钾直至分娩。持续硬膜外输注的疼痛管理计划有助于避免压力引起的低钾血症。在此期间，没有一名妇女出现肌肉无力发作。总之,需要有重点的病史和有针对性的实验室检查来诊断原发性低钾血症性周期性麻痹.早期口服或静脉注射钾对改善胎儿预后至关重要。
