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在应用锂治疗精神病过程中,见甲状腺弥漫性肿大并有引起医原性甲状腺机能减退者。作者采用锂治疗20例甲状腺机能亢进症(简称甲亢),其中18例女性,2例男性,年龄24-72岁,取得良好效果。12例系弥漫性甲状腺肿Ⅱ-Ⅲ度或结节性甲状腺肿,甲亢指数超过25。6例应用25-50微居里碘作三期碘测定,另6例在锂治疗前后测定99m锝摄取率。此外,均测总甲状腺素、三碘甲腺原氨酸结合力及血清胆固醇。另一组8例系甲亢危象而入院,其中5例用甲基苯巴比妥、强的松和葡萄糖盐水等对症治疗外,在头七天同时服醋酸锂532毫克,日2-3次。
In the application of lithium in the treatment of mental illness, see diffuse thyroid enlargement and have caused by hypopharynx hypothyroidism. The authors used lithium treatment of hyperthyroidism in 20 cases (referred to as hyperthyroidism), of which 18 women, two males, aged 24-72 years old, and achieved good results. 12 cases of diffuse goiter Ⅱ-Ⅲ degree or nodular goiter, hyperthyroidism index more than 25.6 cases of 25-50 microcirculation iodine for the third phase of iodine determination, the other 6 cases measured before and after lithium treatment of 99m technetium uptake rate. In addition, all measured thyroxine, triiodothyronine binding and serum cholesterol. Another group of 8 cases of hyperthyroidism and hospitalized, of which 5 cases with methylphenobarbital, prednisone and glucose saline and other symptomatic treatment, while serving the first seven days of lithium acetate 532 mg, 2-3 times a day.