胺碘酮是治疗心律失常的常用药物。但由于其富含碘及自身固有的特性,可导致一系列甲状腺功能的紊乱,甚至引发明显的甲状腺功能减退(甲减)或甲状腺功能亢进(甲亢)。对于胺碘酮所致甲减(AIH)的诊断和治疗目前比较清晰,但对胺碘酮所致甲亢(AIT)的诊断、鉴别其亚型及治疗有一定的难度。 Amiodarone is a commonly used drug for the treatment of arrhythmias. However, due to its iodine richness and its inherent characteristics, it can cause a series of disorders of thyroid function and even lead to obvious hypothyroidism (hypothyroidism) or hyperthyroidism (hyperthyroidism). For amiodarone-induced hypothyroidism (AIH) diagnosis and treatment is relatively clear, but amiodarone-induced hyperthyroidism (AIT) diagnosis, identification of its subtypes and treatment have some difficulties.