论文部分内容阅读
甲状腺机能亢进症(甲亢)伴有白细胞减少及碘化物过敏的病例罕见,并且治疗难度也较大.一旦发生甲状腺危象,由于病人的特殊情况选用药物和给药途径受到很大限制,给抢救工作带来很大困难.如碘化物过敏时不宜用复方碘溶液;白细胞减少(特别是伴有感染)时不宜用抗甲状腺药物;频繁呕吐时不能口服药物等.我们采用舌下含服药物代替口服药物,以碳酸锂代替复方碘溶液及抗甲状腺药物,抢救了伴有白细胞减少及碘化物过敏的甲状腺危例2例,治疗效果满意,现举例报告如下.
Hyperthyroidism (hyperthyroidism) associated with leukopenia and iodide allergy cases rare, and the treatment is also more difficult in the event of thyroid crisis, due to the special circumstances of the patient selection of drugs and routes of administration are greatly restricted to rescue Such as iodine allergy should not use compound iodine solution; leukopenia (especially with infection) should not be anti-thyroid drugs; frequent vomiting can not be oral drugs, etc. We use sublingual medication instead of Oral drugs, lithium carbonate instead of compound iodine solution and anti-thyroid drugs, rescue associated with leukopenia and iodide allergy thyroid 2 cases, the treatment effect is satisfactory, are as follows.