Kinoshita Hiroyuki, Yasuda Mutsuko, Furumoto Youhei, Watanabe Naoko, Horiuchi Takao, Murayama Minekazu, Kitamura Mari, Kaneko Shingo, Inoshita Seiji, Maruyama Yasuki, Suenaga Matsuhiko, Fujita Hiroshi, Fujiki Kazuhiko, Yakushiji Fumiatsu
Department of Internal Medicine, Tokyo Metropolitan Bokutoh Hospital.
Intern Med. 2010;49(8):759-61. doi: 10.2169/internalmedicine.49.2831. Epub 2010 Apr 15.
Lugol's solution is an iodinated agent used for treating thyroid crisis. It is primarily used in diagnostic tests for esophageal diseases. However, Lugol's solution can cause local mucosal injury and hemorrhage. We report, for the first time, a case of 34-year-old man who exhibited severe duodenal hemorrhage induced by Lugol's solution that was used to treat thyroid crisis. The quantity of Lugol's solution used for treating thyroid crisis is much higher than that used for mucosal disease investigation. Clinical practitioners should be aware of gastrointestinal hemorrhage when using Lugol's solution for the treatment of thyroid crisis.
卢戈氏溶液是一种用于治疗甲状腺危象的碘化剂。它主要用于食管疾病的诊断测试。然而，卢戈氏溶液可导致局部黏膜损伤和出血。我们首次报告了一例34岁男性，其因用于治疗甲状腺危象的卢戈氏溶液引发了严重的十二指肠出血。用于治疗甲状腺危象的卢戈氏溶液用量远高于用于黏膜疾病检查的用量。临床医生在使用卢戈氏溶液治疗甲状腺危象时应注意胃肠道出血。
