Comparison of various treatment schedules for accelerating the elimination of radioiodine from the thyroid and the human body.

Nuclear-Medizin Pub Date : 1975-08-31
D P Livadas, D A Koutras, J Sfontouris, A D Pharmakiotis, B Malamos
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Abstract

In 68 euthyroid patients undergoing 131I thyroid function tests the thyroidal, urinary and plasma protein-bound radioactivity has been serially measured for 14 days. The patients were subdivided in controls and 9 groups treated with potassium iodide, carbimazole, potassium perchlorate and TSH, singly or in combination. The aim was to devise a treatment scheme for accelerating the release of iodine from the thyroid and the elimination from the body in cases of accidental radioiodine poisoning if the patient is seen after the radioiodine has already been taken up by the gland. All treatment schedules were effective, but TSH injections gave the best results, especially if combined with carbimazole and potassium perchlorate. This combination is the treatment of choice under these circumstances.

加速甲状腺和人体放射性碘消除的各种治疗方案的比较。
68例甲状腺功能正常患者接受131I甲状腺功能检查,连续14天测定甲状腺、尿液和血浆蛋白结合放射性。将患者分为对照组和9组,分别用碘化钾、卡咪唑、高氯酸钾和TSH单独或联合治疗。其目的是设计一种治疗方案,在意外放射性碘中毒的情况下,如果患者在放射性碘已经被腺体吸收之后就诊,则可加速碘从甲状腺释放并从体内排出。所有的治疗方案都是有效的,但TSH注射的效果最好,特别是如果与咔咪唑和高氯酸钾联合使用。这种组合是在这种情况下的选择处理。
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