【摘要】 目的　探讨原发性甲状腺机能亢进症 (甲亢 )新的术前准备方法。方法　术前用复方碘液 10d ,5～ 10滴 /次 ,3次 /d ,第 7d加用 5 %～ 10 %葡萄糖注射液 5 0 0ml加地塞米松 2 0mg ,静脉滴注 1次 /d ,连用 3d后手术。结果　发现 1次静脉滴注地塞米松 2 0mg后FT3 降为正常 ,连用 3d后FT4 亦降为正常。 10 7例术后均无甲状腺危象等并发症的发生。结论　用地塞米松等综合用药对原发甲亢进行术前准备是安全有效的更多还原

【Abstract】 Objective To study new preoperative preparation for primary hyperthyroidism. Methods Before operation, Lugol solution was used(5～10 getts/time, 3 times/d) for 10 days. On the 7th day, dexamethasone 20?mg was added to 5%～10% glucose solution 500?ml was consecutively used for 3 days before the operation. Results FT 3 fell to normal value after dexamethasone 20?mg was used once, and FT 4 fell to normalvalue after dexamethasone used 3 days. There was no any complication, such as thyroid crisis occurring in this series. Conclusions Dexamelhasone applied before operation as the preoperative preoparation for primary hyperthyroidism is testified a safe and effective method.更多还原