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患者,男性,36岁。有频发性房性早搏十年史。1982年1月用乙胺碘呋酮治疗,每日口服600mg,半月后房早消失。后以每日200mg口服维持,间断用药至1984年2月,患者即出现低热、多汗、体重明显下降等甲亢症状,甲状腺呈弥漫性Ⅰ度肿大,颈软,光滑。甲状腺功能检查三次结果为:吸碘率2小时和6小时均在2%以下,血清TT_4,T_3 吸收比值与FT_4 I 均升高,三者最高值分别达32.3μg/100ml、1.18与33.0。确诊为碘源性甲亢(乙胺碘呋酮所致)。用心得安每日
Patient, male, 36 years old. A decade of history of frequent atrial premature beats. January 1982 with amiodarone treatment, daily oral 600mg, half an month after the early disappearance of the room. 200mg orally daily to maintain, intermittent medication until February 1984, the patient showed fever, hyperhidrosis, weight loss and other hyperthyroidism symptoms were diffuse grade Ⅰ thyroid enlargement, soft neck, smooth neck. Thyroid function test three times as follows: iodine absorption rate of 2 hours and 6 hours were below 2%, serum TT 4, T 3 absorption ratio and FT 4 I were elevated, the highest of the three reached 32.3μg / 100ml, 1.18 and 33.0 respectively. Diagnosis of iodine-derived hyperthyroidism (caused by amiodarone). Peace of mind every day