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放射性Ⅰ治疗甲状腺疾病仍是目前核素治疗的主要内容。Ⅰ治疗分化较好的甲状腺癌已被证实为一种简便有效甚至有时为唯一的治疗手段。由于Ⅰ治疗甲状腺癌的剂量要比治疗甲亢时大得多,故不良反应明显为重,有时还会出现一些罕见的不良反应。甲状腺癌患者Ⅰ治疗的第一步是用Ⅰ去除术后残留甲状腺,此时可能发生过敏性颈部水肿,如不及时处理,可造成因气管压迫而窒息的严重后果。此病例国内尚未见专门报道。我科在3年间治疗15例甲状腺癌中曾遇到1例,现报道如下。
Radioactive I treatment of thyroid disease is still the main content of radionuclide therapy. I treatment of well-differentiated thyroid cancer has been proven to be a simple and effective and sometimes only treatment. Since the dose of I for thyroid cancer is much greater than that for the treatment of hyperthyroidism, the adverse reactions are significantly heavier and sometimes there are some rare adverse reactions. The first step in the treatment of thyroid cancer patients I is to use I to remove residual thyroid after surgery, this time may occur allergic neck edema, if not treated in time, can cause serious consequences of choking due to tracheal oppression. This case has not yet been reported in China. Our department has encountered 1 case of 15 cases of thyroid cancer in 3 years and is reported as follows.