患者，男,22岁。自觉颈前肿胀并伴有疼痛，发热多汗、急躁、心悸半月。左侧甲状腺轻度肿大，触痛(+)。心率100次/分，律齐。TT37.6nmol/L,TT4185.1nmol/L。摄131I率显著降低。患者用药应选

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