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短期服用高氯酸钾可恢复胺碘酮碘诱导的甲状腺功能减退中的甲状腺功能正常。

Short term administration of potassium perchlorate restores euthyroidism in amiodarone iodine-induced hypothyroidism.

作者信息

Martino E, Mariotti S, Aghini-Lombardi F, Lenziardi M, Morabito S, Baschieri L, Pinchera A, Braverman L, Safran M

出版信息

J Clin Endocrinol Metab. 1986 Nov;63(5):1233-6. doi: 10.1210/jcem-63-5-1233.

DOI:10.1210/jcem-63-5-1233
PMID:3020079
Abstract

We studied the effect of potassium perchlorate (KClO4) in patients with hypothyroidism due to amiodarone. The short term administration of KClO4 to six such patients led to prompt restoration of euthyroidism, while the three untreated patients remained hypothyroid for 2-6 months. Since KClO4 inhibits thyroid iodide transport, thereby blocking further entrance of iodide into the thyroid and decreasing intrathyroidal iodide content, amiodarone-associated hypothyroidism is probably secondary to the inhibitory effect of excess intrathyroidal iodine on thyroid hormone synthesis.

摘要

我们研究了高氯酸钾(KClO4)对胺碘酮所致甲状腺功能减退患者的影响。对6例此类患者短期给予高氯酸钾后,甲状腺功能迅速恢复正常,而3例未治疗的患者甲状腺功能减退持续了2 - 6个月。由于高氯酸钾抑制甲状腺碘转运,从而阻止碘进一步进入甲状腺并降低甲状腺内碘含量,胺碘酮相关的甲状腺功能减退可能继发于甲状腺内过量碘对甲状腺激素合成的抑制作用。

相似文献

1
Short term administration of potassium perchlorate restores euthyroidism in amiodarone iodine-induced hypothyroidism.短期服用高氯酸钾可恢复胺碘酮碘诱导的甲状腺功能减退中的甲状腺功能正常。
J Clin Endocrinol Metab. 1986 Nov;63(5):1233-6. doi: 10.1210/jcem-63-5-1233.
2
[Transitory efficacy of potassium perchlorate in hypothyroidism caused by amiodarone].[高氯酸钾对胺碘酮所致甲状腺功能减退的短暂疗效]
Recenti Prog Med. 1989 Apr;80(4):201-3.
3
Potassium perchlorate only temporarily restores euthyroidism in patients with amiodarone-induced hypothyroidism who continue amiodarone therapy.对于继续使用胺碘酮治疗的胺碘酮所致甲状腺功能减退患者,高氯酸钾仅能暂时恢复甲状腺功能正常。
J Endocrinol Invest. 2008 Jun;31(6):515-9. doi: 10.1007/BF03346400.
4
Treatment of amiodarone-induced hypothyroidism with potassium perchlorate.
Neth J Med. 1993 Feb;42(1-2):21-4.
5
Iodine-induced subclinical hypothyroidism in euthyroid subjects with a previous episode of amiodarone-induced thyrotoxicosis.既往有胺碘酮所致甲状腺毒症发作史的甲状腺功能正常者发生碘致亚临床甲状腺功能减退症。
J Clin Endocrinol Metab. 1992 Nov;75(5):1273-7. doi: 10.1210/jcem.75.5.1331165.
6
Impaired intrathyroidal iodine organification and iodine-induced hypothyroidism in euthyroid women with a previous episode of postpartum thyroiditis.既往有产后甲状腺炎病史的甲状腺功能正常女性的甲状腺内碘有机化受损及碘致甲状腺功能减退
J Clin Endocrinol Metab. 1991 Nov;73(5):958-63. doi: 10.1210/jcem-73-5-958.
7
Amiodarone-induced hypothyroidism. A common complication of prolonged therapy: a report of eight cases.
Arch Intern Med. 1985 Jun;145(6):1016-9. doi: 10.1001/archinte.145.6.1016.
8
[Hypothyroidism followed by hyperthyroidism under treatment with amiodarone].
Schweiz Med Wochenschr. 1993 Nov 6;123(44):2110-2.
9
Treatment of amiodarone associated thyrotoxicosis by simultaneous administration of potassium perchlorate and methimazole.通过同时给予高氯酸钾和甲巯咪唑治疗胺碘酮相关性甲状腺毒症。
J Endocrinol Invest. 1986 Jun;9(3):201-7. doi: 10.1007/BF03348098.
10
Treatment of amiodarone induced hyperthyroidism with potassium perchlorate and methimazole during amiodarone treatment.在胺碘酮治疗期间,用高氯酸钾和甲巯咪唑治疗胺碘酮诱发的甲状腺功能亢进症。
BMJ. 1989 Jun 10;298(6687):1547-8. doi: 10.1136/bmj.298.6687.1547.

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