复方碘溶液术前服用致甲状腺功能亢进

Hyperthyroidism due to oral compound iodine solution before surgery

1例40岁男性甲状腺功能正常的结节性甲状腺肿患者,在术前口服复方碘溶液(10滴,3次/d)的第10天出现心悸,多汗。实验室检查:三碘甲腺状原氨酸3.21 nmol/L,甲状腺素142.10 nmol/L,游离三碘甲状腺原氨酸8.80 pmol/L,游离甲状腺素28.18 pmol/L,促甲状腺素0.03 mU/mL。立即停用复方碘溶液,给予甲巯咪唑10 mg,2次/d口服。治疗1个月后患者甲状腺功能正常,停药后手术治疗。

A 40-year-old man who had normal thyroid function and nodular goiter developed palpitation and hyperhidrosis on day 10 while he was receiving oral compound iodine solution 10 drops thrice daily before surgery.The thyroid function tests showed the following levels： triiodothyronine 3.21 nmol/L,thyroxine 142.10 nmol/L,free triiodothyronine 8.80 pmol/L,free thyroxine 28.18 pmol/L,thyroid-stimulating hormone 0.03 mU/L.The compound iodine solution was discontinued immediately and oral methimazole 10 mg was given twice daily.After one month of treatment,his thyroid function became normal,and then he underwent surgical treatment.