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胺碘酮(Amiodarone)又称乙胺碘呋酮,是常用的抗心律失常药。但本品可致甲状腺功能失调,且症状不典型,临床易忽视,造成漏误诊。本文报道二例胺碘酮诱发的不典型碘甲亢,并简述其发病机理。例1,男,51岁。因反复发作性心悸、胸闷五年,加重二月余入院。入院前三周曾连续服过一个多月胺碘酮,300 mg/d,以往
Amiodarone, also known as amiodarone, is a commonly used anti-arrhythmic drug. But this product can cause thyroid dysfunction, and the symptoms are not typical, easily overlooked, resulting in misdiagnosis. This article reports two cases of amiodarone induced atypical iodine hyperthyroidism, and briefly describe its pathogenesis. Example 1, male, 51 years old. Due to repeated episodes of heart palpitations, chest tightness for five years, increased in February more than admitted. Three consecutive weeks prior to admission had consecutive months of amiodarone, 300 mg / d, for the past