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131~Ⅰ治疗甲亢、癫痫同时治愈者,报道较少。本例治愈后,经2年随访疗效巩固,现报道如下: 患者女,30岁。1982年以癫痫大发作起病,每月1～2次,每次数分钟,诊断为癫痫大发作。1984年后出现心悸、怕热、出汗、纳亢(1.5斤/日)易饥、易怒,伴失眠,大便2～3次/日,甲状腺Ⅱ~0肿大,有杂音。T_33.2ng/ml,T_4320ng/ml,甲功(增高、高峰前移),诊断为甲亢。此后每因心烦、生气引起癫痫发作,次数增频、经抗癫痫药治疗,发作未控制。甲亢以他巴唑10mg3/日治疗,半年未见效。于1985年6月给131~Ⅰ3.5mci口服,4月后复查,甲亢症状消失,T_3,T_4及甲功恢复正常, 癫痫也获控制,随访2年,两者均未复发。
131 ~ Ⅰ treatment of hyperthyroidism, epilepsy were cured at the same time, fewer reports. After the cure in this case, after 2 years of follow-up effect consolidation, are reported as follows: Female patient, 30 years old. Epilepsy onset in 1982 onset, 1 to 2 times per month, every few minutes, the diagnosis of epileptic seizures. After 1984, heart palpitations, fear of heat, sweating, sodium (1.5 pounds / day) easily hungry, irritability, with insomnia, stool 2 to 3 times / day, thyroid enlargement Ⅱ ~ 0, a noise. T_33.2ng / ml, T_4320ng / ml, A power (increased, peak forward), diagnosed as hyperthyroidism. After each because of upset, angry caused by seizures, the number of frequency, by antiepileptic drugs, seizures uncontrolled. Hyperthyroidism with methimazole 10mg3 / day treatment, six months did not work. In June 1985 to 131 ~ Ⅰ 3.5mci oral, review after 4 months, hyperthyroidism disappeared, T_3, T_4 and thyroid function returned to normal, epilepsy was also controlled, followed up for 2 years, both did not relapse.