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乙胺碘呋酮是一种治疗各种顽固性心律失常的有效药物,副反应较少,而引起甲状腺机能亢进(甲亢)或甲状腺机能减退(甲减)则尤为少见。本院最近遇见一例乙胺碘呋酮引起的甲亢,特报道于下。张××,住院号:2980,男,60岁。于1971年开始有心律不齐。1979年6月因房颤反复发作而住院,经多种抗心律紊乱药物治疗无效。于8月9日开始服用乙胺碘呋酮,至1980年1月起维持量由300mg/天逐渐减为50mg/天。服药后的第1、2、3、4个月分别作了血浆T_4检测,均属正常。服药后心率65～75次。除偶有早搏外,未再有房颤发作。1980年8月停药,停药后3个月,又有心律不齐,同年12月
Amiodarone is a potent drug used in the treatment of various arrhythmic arrhythmias with less side effects and is particularly rare in patients with hyperthyroidism or hypothyroidism (hypothyroidism). The hospital recently met with a case of hyperthyroidism caused by amiodarone, especially reported in the next. Zhang × ×, hospital number: 2980, male, 60 years old. Arrhythmia started in 1971. In 1979 June due to repeated episodes of atrial fibrillation hospitalized, after a variety of antiarrhythmic drugs ineffective. Starting amiodarone on August 9, the maintenance dose was gradually reduced from 300 mg / day to 50 mg / day from January 1980. After taking the first 1,2,3,4 months were made of plasma T_4 test, are normal. After taking the heart rate 65 to 75 times. In addition to occasional premature beats, no more episodes of atrial fibrillation. August 1980 withdrawal, 3 months after withdrawal, and arrhythmia, the same year in December