乙胺碘呋酮致甲状腺功能减退 女,35岁。因频发室性早搏用苯妥英钠、慢心律治疗后好转,当时查T_3,T_4均正常。3个月后复发而服乙胺碘呋酮0.2g/日4月余,7个月后出现乏力、头昏、面肿,甲状腺肿大,双跟腱反射恢复延迟。T_3<0.5ng/ml,T_421ng/ml,,TSH60mU/L,MCA35％,TGA47％;诊断甲减,服甲状腺片治疗1 Amiodarone-induced hypothyroidism Female, 35 years old. Due to frequent premature ventricular contractions with phenytoin sodium, slow heart rate therapy improved, then check T_3, T_4 are normal. 3 months after the relapse and taking amiodarone 0.2g / day in April more than 7 months after fatigue, dizziness, face swelling, goiter, double Achilles tendon reflex delay recovery. T_3 <0.5ng / ml, T_421ng / ml, TSH60mU / L, MCA35%, TGA47%; diagnosis of hypothyroidism, the treatment of thyroid tablets 1