摘要
目的观察^131Ⅰ治疗甲状腺机能亢进症的疗效，分析影响因素。方法78例患者服用^131Ⅰ后一月、三月、六月门诊复查甲功、血常规、肝功，观察其疗效。结果临床治愈58例，占77．3％，好转6例，占8．0％，甲减8例，占10．6％，无效例3例，占4．0％。除三例失访外。其中甲状腺越肿大者缩小越明显。突眼及眼胀逐渐改善。伴甲亢心脏病者，心功能渐好转。白细胞减少者，大多恢复正常，未新增白细胞减少者。肝功损害者恢复正常，未新增肝功损害者。3例随访六月后无效。无一例发生甲状腺危象。结论^131Ⅰ治疗甲亢是简便、有效、安全，且适应范围广的治疗方法。
Objective To observe the effect of ^131I treatment of hyperthyroidism, analyzes th-e influential factors. Methods 78 patients ＇after taking ^131I the first month, the third month, thefirst six months outpatient review thyroid funetion, blood routine, liver fnnction, to observe theeffect. Results 58 patients were cured （77.3%）, 6 patients were improved （8.0）, 8 patientsdeveloped hypothyroidism（10.6%）, and 3 patients therapies （4.0%）. Except for three ca-ses were lost to follow-up outside. The more narrow the enlargement of the thyroid which aremore evident. Prominent eyes and eye bilge improve gradually. With hyperthyroidism, heartdisease, heart function improved. Leukopenia with most recovery, leukopenia were not adde-d. Liver damage were restored to normal liver damage are not new. After six months , three patients therapies. No cadge of thyroid crisis. Conclusion ^131I treatment of hyperthyroidism isa simple, effective, safe, and the indications for the treatment of wide.
