Principles of treatment for hyperthyroidism combined with hypokalemic periodic paralysis

  1.Avoid triggering factors, the main triggers of low potassium type periodic paralysis attacks include (1) excessive mental tension, mental stimulation, excessive fatigue; (2) cold, cold, fever, sweating; (3) full meals (especially at dinner), alcohol or the application of non-potassium high sugar, high carbonated drinks; (4) low intake of potassium salt, and excretion, such as: diarrhea; (5) injection of glucose or insulin, etc..  2, active potassium supplementation treatment, potassium chloride extended-release tablets or 10% potassium chloride oral solution, acute attacks should be treated with intravenous potassium supplementation in a timely manner.  3, the treatment principle of hyperthyroidism with hypokalemic periodic paralysis should first be actively treated: there are three main methods of treating hyperthyroidism: anti-thyroid medication, surgery and radioactive 131I therapy. Compared to taking anti-thyroid medication and surgery for hyperthyroidism, radioactive 131I treatment for hyperthyroidism has the advantages of high cure rate, short treatment period, low cost, no pain and few complications for patients. When hyperthyroidism is cured, the symptoms of hypokalemic periodic paralysis disappear. Therefore, radioactive 131I is recognized as the treatment of choice for hyperthyroidism with hypokalemic periodic paralysis.