^(131)I治疗甲状腺功能亢进伴周期性麻痹(附42例分析)

^(131)I in treatment of hyperthyroidism with periodic paralysis

甲状腺功能亢进 (甲亢 )伴周期性麻痹是一种临床常见病 ,口服药物治疗效果不佳。为探讨 1 31 I对甲亢伴周期性麻痹的治疗价值 ,选择 4 2例该类患者给予口服 1 31 I5 .0～ 9.0 m Ci(1Ci=3.7× 10 1 0 Bq)治疗 ,评价周期性麻痹的缓解情况 ,结果表明 ,1 31 I治疗甲亢伴周期性麻痹疗效肯定 ,使用安全 ,不良反应轻微 。

Hyperthyroidism with periodic paralysis is common in clinic,the curative effect of peroral drugs on it is not satisfactory. In order to evaluate the treatment of 131 I for periodic paralysis in patients with hyperthyroidism, fouty two patients with hyperthyroidism complicated with periodic paralysis were put on p.o. 5.0 9.0 mCi 131 I Na treatment and the remission rate of periodic paralysis was observed.The total effective rate was over 95%. It can be concluded that 131 I could be used as a routine therapy for periodic paralysis in most patients with hyperthyroidism for its safety and efficiency.