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1.服碘~(131)后引起甲状腺危象甚为少见。本文报告碘~(131)治疗98例中有两例出现危象,简介其病程及治疗经过。2.二例发生危象可能与患者神经型和机体敏感性有关。3.为了预防甲状腺危象发生,对(1)甲状腺机能亢进程度严重者;(2)甲状腺机能亢进合并有明显的肝脏疾病者;(3)患者精神过于紧张有神经质者。应采用多次小剂量服碘~(131)法,或服碘(131)前服用硫氧嘧啶,两法也可以合并使用。4.处理服碘~(131)后之甲状腺危象与一般甲状腺危象相同。用大量普通碘剂结合降温及人工冬眠治疗,效果良好,2例均获痊愈。 5.在服碘~(131)后第3—4天应用大量普通碘剂及冬眠合剂对碘疗效的影响不大,患者甲状腺机能亢进症状仍能缓解.
1. Serve iodine ~ (131) caused by thyroid crisis is very rare. This article reports iodine ~ (131) treatment of 98 cases, two cases of crisis, brief introduction of its course and treatment after. 2. Two cases of crisis may be related to the patient’s neurological and body sensitivity. 3. In order to prevent the occurrence of thyroid crisis, (1) severe hyperthyroidism; (2) hyperthyroidism with significant liver disease; (3) the patient is too nervous and nervous. Should take multiple small doses of iodine ~ (131) Act, or taking iodine (131) before taking thiamine, the two methods can also be combined use. 4. Treatment of iodine ~ (131) after the thyroid crisis and the general risk of thyroid crisis the same. With a large number of ordinary iodine combined with cooling and artificial hibernation, the effect is good, 2 patients were cured. 5. In serving iodine ~ (131) 3-4 days after the application of a large number of ordinary iodine and dormancy mixture of little effect on the efficacy of iodine, patients with hyperthyroidism can still alleviate the symptoms.