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目的探讨甲状腺功能亢进症造成肝损害的发病特点、治疗方法。方法对209例甲亢患者进行回顾性分析总结。结果 209例甲亢患者中有63例并发肝损害,甲亢与肝损害间呈病程越长肝损害患病率越高,甲亢病情越重肝损害的可能性越大;对所有肝损害患者在保肝、支持治疗的同时,原发病甲亢的治疗根据患者肝功情况而定,轻度患者选择口服抗甲状腺药物治疗,中重度患者择期选择131I治疗。结论肝损害可随甲亢病情的好转而逐渐恢复正常,未发现复发及死亡病例,愈后良好;甲亢易并发肝损害,首先应保肝治疗,待肝功好转后再治疗甲亢。
Objective To investigate the incidence of liver damage caused by hyperthyroidism, treatment methods. Methods 209 cases of hyperthyroidism were retrospectively analyzed and summarized. Results Among 209 cases of hyperthyroidism, 63 cases were complicated by liver damage. The longer the duration of hyperthyroidism and liver damage was, the higher the prevalence of liver damage was. The more likely the hyperthyroidism was, the greater the possibility of liver damage. For all patients with liver damage, At the same time, the treatment of primary disease with hyperthyroidism depends on the liver function of the patient. Oral anti-thyroid drug therapy is given to mild patients, and 131I treatment is given to moderate-severe patients. Conclusions Liver damage can gradually return to normal with the improvement of hyperthyroidism. No recurrence or death is found, and the prognosis is good. Hyperthyroidism is easily accompanied by liver damage, and should be treated with liver protection until the improvement of liver function and treatment of hyperthyroidism.