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在甲状腺功能亢进症中,每两至八小时给予等份剂量的丙硫氧嘧啶。

Administration of equally divided doses of propylthiouracil every two-eight hours in hyperthyroidism.

作者信息

Mendoza-Morfin F, Bonilla-Lajud I, Callejas-Ramos F, Ortigosa-Ramírez J L, Oseguera-Valladares R, Gutiérrez-Perez H M, Escobar-Cauz G

出版信息

Arch Invest Med (Mex). 1979;10(3):127-34.

PMID:386974
Abstract

Serum propylthiouracil semi splitting occurs in 1.1 and 1.65 hours when administered in a single dose. In this work treatment for hyperthyroid patients is described; 350 mg were administered daily in divided doses, every two and eight hours. In group A fifteen patients received 50 mg every two hours from 8:00 to 20:00 hs. and in group B nine patients were administered 100, 100 and 150 mg at 8 hour intervals. The patients were hospitalized the first seven days and during this time circulating triiodothyronine and thyroxine concentrations were measured daily at 8:00 and 20:00 hrs. and then at 8:00 hrs. at days 8, 14, 21 and 28. After almost one week of treatment, in group "A", seven patients (46.6 per cent p 0.05) had normal concentration levels in both hormones. In group "B" only one patient reached normal levels in the first eight days. The administration of propylthiouracil every two hours is a useful procedure to attain the euthyroid state in less time than with other therapeutic patterns without undesirable side effects.

摘要

单次服用丙硫氧嘧啶后,血清丙硫氧嘧啶半衰出现于服药后1.1小时和1.65小时。本文描述了对甲状腺功能亢进患者的治疗情况;每日分剂量给药350mg,每两小时和八小时各给药一次。A组15名患者从8:00至20:00每两小时服用50mg。B组9名患者每隔8小时分别服用100mg、100mg和150mg。患者头七天住院,在此期间,每天于8:00和20:00测量循环三碘甲状腺原氨酸和甲状腺素浓度,然后在第8、14、21和28天于8:00测量。治疗近一周后,“A”组7名患者(46.6%,p<0.05)两种激素浓度均恢复正常。“B”组仅1名患者在头八天内达到正常水平。每两小时服用丙硫氧嘧啶是一种有效的治疗方法,与其他治疗方式相比,能在更短时间内使甲状腺功能恢复正常,且无不良副作用。

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