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报告一典型病例 ,以加深临床医生对 131I治疗的认识。甲亢病史 12年 ,3次复发 4疗程抗甲状腺药物治疗 ,最后出现药物性粒细胞减少症和低血钾综合征 ,恶心、纳呆明显 ,以至严重全身肌肉萎缩 ,犹如骷髅 ,不能站立。稳定病情后用 131I治疗痊愈 ,病人恢复健康。结论 :弥漫性甲亢抗甲状腺药物治疗不满意或复发病例 ,应及时改用 131I治疗根治 ,以免病情加重 ,甚至导致严重并发症。
A typical case is reported to enhance clinicians’ understanding of 131I therapy. Hyperthyroidism history of 12 years, 3 relapse 4 courses of anti-thyroid drug treatment, and finally drug-induced neutropenia and hypokalemia syndrome, nausea, obvious obstruction, and even severe systemic muscle atrophy, like a skeleton, can not stand. Stable condition recovered with 131I treatment, the patient returned to health. Conclusion: Diffuse hyperthyroidism is not satisfied with the treatment of thyroid drugs or relapse cases, 131I should promptly switch to radical treatment in order to avoid aggravating the disease, and even lead to serious complications.