Abstract:

Objective To analyze and summarize the forensic characteristics of sudden death caused by hypokalemic periodic paralysis. Method 16 cases of sudden death caused by hypokalemic periodic paralysis, which were examined in Medicolegal Expertise Center of Sun Yat-sen University from 2004 to 2010, were collected and analyzed. Results The main group was male aged from 20 to 39, with the mean age 35.12±8.54. The average blood potassium concentration was （2.29±0.60） mmol/L. Conclusion Sudden death of hypokalemic periodic paralysis lacks of specific histopathological changes. The death diagnosis needs more index system from clinical laboratory study.

Key words: hypokalemic periodic paralysis, forensic pathology, sudden death

摘要：

目的 探讨低钾型周期性麻痹猝死案例的法医学鉴定要点。方法 对中山大学法医鉴定中心2004～2010年间受理的16例低钾型周期性麻痹猝死案例进行回顾性分析。结果 16例案例中以20～39岁男性多见，平均年龄（35.12±8.54）岁；血清钾平均水平（2.29±0.60） mmol/L。结论 低钾型周期性麻痹猝死案例缺乏特异性组织病理学改变，法医学检案中应结合临床实验室检测结果综合评定。

关键词: 低钾型周期性麻痹, 法医病理学, 猝死