問題詳情

50.有關甲狀腺風暴(thyroid storm)的治療,下列何者正確?
(A)須先給與iodide,至少一小時後再使用thioamides
(B)須使用高劑量注射劑型的thioamides
(C)類固醇會惡化甲狀腺風暴,應避免使用
(D)使用propranolol可改善心跳過快,抑制周邊的T4轉為T3

參考答案

答案:D
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(A)須先給與thioamides,至少...

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●A beta blocker to control the symptoms and signs induced by increased adrenergic tone●A thionamide to block new hormone synthesis●An iodine solution to block the release of thyroid hormone●An iodinated radiocontrast agent (if available) to inhibit the peripheral conversion of T4 to T3●Glucocorticoids to reduce T4-to-T3 conversion, promote vasomotor stability, possibly reduce the autoimmune process in Graves' disease, and possibly treat an associated relative adrenal insufficiency●Bile acid sequestrants may also be of benefit in severe cases to decrease enterohepatic recycling of thyroid...