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甲状腺功能亢进症(简称甲亢)的治疗,主要有长期抗甲状腺药物治疗、同位素~(131)碘治疗和甲状腺大部分切除术三种。本文重点谈一下甲亢药物治疗中的几个实际问题。一、抗甲状腺药物治疗的优、缺点及适应证是什么? 目前国内常用的抗甲状腺药物为硫脲类中的甲基及丙基硫氧嘧啶和咪唑类中的他巴唑及甲亢平。这些药物的优点是:①疗效比较肯定,对绝大多数病人有效;②不损害甲状腺及周围组织;③比较安全,严重并发症(粒细胞缺乏症、肝损害)的发生率不高。只要提高警惕,密切观察,即可使并发症的发生率降低;④
Hyperthyroidism (referred to as hyperthyroidism) treatment, mainly long-term anti-thyroid drug treatment, isotope 131I treatment and thyroidectomy most of the three. This article focuses on some practical problems in hyperthyroidism drug therapy. First, the advantages and disadvantages of anti-thyroid drug treatment and indications? At present, the commonly used anti-thyroid drugs for thiourea methyl and propylthiouracil and imidazole in the methimazole and hyperthyroidism. The advantages of these drugs are: ① more positive effect, effective for the vast majority of patients; ② does not damage the thyroid and surrounding tissues; ③ safer, serious complications (agranulocytosis, liver damage) the incidence is not high. As long as vigilance, close observation, you can reduce the incidence of complications;