? ?131I? ? ? ? 131I?131I?131I?131I?131I?131I?.131I? ?.131I? ?.131I? ?.131I?Graves?.?ATA?131I ? ?.131I?.131I? ?.?131I? 131I? ?1942?Hamilton?131I?1996? 200?20?131I?12.32 327.6 0.8 1.6 62 34 20974?3?2.72 45.5 3.4 3.1 130 155 15.4 2.914?4.41 183.3 6.2 3.3 130 118 13.0 2.630?2.1 111.8 3.1 4.0 120 121 15.4 4.8 110?2.42 55.6 2.38 131I ? ?42 41 64.6? 14?30 31 70.4 30?28 25 71.0131I?LV? (mm) (mm) %?3.131I ?UCG?131I ? ?3.? ?PTU?WBC?2.0?109/L? ?ATD?131I ?131I ?3?9 ? ?131I ? ?131I ? ?37.9%? ?65.6 %1?(?)131I?131I?1.?,?.?.?2?,2003,1229-1231? ? 1.?ATD?ATD? 2.? ATD?ATD? ?/? ?ATD? ?131I?,? ?131I? ?131I?131I?131I? ATa?ek1959?131I?2?,?131I?131I? ?1964?131I?26? 1984?131I?3? ?131I?1?131I?1?1984?4?12? ?1999?131I?23? ?131I? ?1?Williams?ATD? ?ATD? ?131I?2?131I?1?1999?16?198-199 2JCEM,1997,28:1727-1733? ?4.?25? ?14cm? Hb 88.0/L? WBC 2.85?109/L? 25.0?109/L?ALT 220U/L?Tbil 51.3mol/L?Dbil34.2mol/L? ?131I?1978?3?307? ?131I 125.8MBq(3.4mCi,?45g,70Ci/g? ?3?8? WBC 2.2?109/L,?2.9?109/L,?3? ?14.54?109/L?155?109/L?1?131I? ?5.49?.?5?,Af4?,?1?,?3?.2002.08.28.131I 7.6mCi(55g?120?Ci/g)?5.2002.12.12.131I ? 105?,?.2003.03.12.131I6.3mCi(35g? 120?Ci/g),5?131I? ?5.131I?131I?TT3TT4FT3FT4TSH ALT TP A TbilDbil (nmol/L) (pmol/L) (U/ml) (U/ml) ( g/L) (mol/L)? 1d 6.18 288.6 18.9 134.9 10)1991?,?-141-12701411(10)1988?,?1514101121 (5)1985?,?23112111228 (10)1984?,?-23-703726 (10)1984?4147319371 (5)1984?2-101103 (10)1981?,?-507507 (7)1981?3525208241(5)1977?,?1217175(8)1977?212-209223(10)1977?(?,?)? ?ATD?131I ?224?,131I?10?89?1?131I?1? 1995, 34?38? ?131I?(1?)?20? 2%?3?10?50?70%?1977?1991?11?,131I? ?5?24?4 167?2. 5?1.7? (0%?10?)?12.7?17. 3? (2.2%?59.8%)?131I? ?223 6(2.7) 5(2.2) -?75 -2(2.7) -?,?241 -16(6.6) 0.8 ?507 13(2.6) 18(3.6) 0.5 ?,?371 -22(5.9) - ?726 28(3.9) 96(13.2) 0.75 ?103 -10(9.7) 1.13 ?,?228 4(3.3) 9(7.4) - ?,? 1411 51(3.6) 158(11.2) 0.52 ?,?161 -67(41.6) - ?4167 1 02(2.5) 528(12.7)? 0.92?(%)?(%)?(%)131I ?131I? ?131I?131I ?ATD?125I? ?131I? ?131I?ATA?1995? ?“?”?131I? ? ?1? ?131I?131I? ?2?131I?1JAMA ,1995,273:808-812 2 Eur J Nucl Med,2002,29(suppl 2)s401-403? ?131I?1? ?131I?131I?2h? ?1?1? ?0.5?131I?1?.?2004?175-177? ?131I?80? 200Ci/g?1?10mCi?15mCi? ?131I? ?131I? ?70?120Ci/g?,?131I?