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一、本文初步报告放射性同位素碘131治疗32例甲状腺机能亢进症的結果;疗效明显者占81.5％,不佳者占18.5％,两例发生甲状腺危象,一例出現暫时性粘液性水肿。二、疗后症状在一周內即可改善,2—3个月明显,体征以体重增加較为敏感,手顫及心律恢复較緩慢,实驗室检查最后亦大部恢复正常。三、討論中說明影响疗效的因素主要与估計甲状腺重量的准确度等有关,并指出覌察体重的重要性,以及突眼不能作为疗效的指标。四、对甲状腺危象的誘因略加闡述,主张对危重患者应使用抗甲状腺药物作預备治疗,以便預防危象的发生。
First, this paper preliminary report of radioactive isotope 131I treatment of 32 cases of hyperthyroidism results; significant effect accounted for 81.5%, poor accounted for 18.5%, thyroid crisis occurred in two cases, a case of temporary myxedema. Second, the symptoms after treatment can be improved within a week, 2-3 months obviously, the signs are more sensitive to weight gain, tremor and rhythm recovery more slowly, most of the laboratory tests also returned to normal. Third, the discussion shows that the main factors affecting the efficacy of thyroid weight estimation and other related factors, and pointed out that the importance of weight observation, and exophthalmia can not be used as an indicator of efficacy. Fourth, the incentives for thyroid crisis slightly elaborated advocate of critically ill patients should use anti-thyroid drugs for the preparation of treatment in order to prevent the occurrence of crisis.