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目的：探讨甲亢伴发慢性乙型肝炎和甲亢性肝病的临床特征。方法：分别对26例甲亢伴发慢性乙型肝炎和24例甲克性肝病的临床症状、体征、某些生化指状及甲状腺功能测定值进行了对比分析。结果：甲亢伴发慢性乙型肝炎临床症状重，蜘蛛痣／肝掌较多见；联合检测ALP、γ－GT并结合TBil、ALB、PTA等检验值对鉴别此二组疾病有较大的参考价值，ALT检测值参考价值不及AST；反映甲状腺功能的T3、T4、TSH检测值二组之间无显著差别。结论：AST检测值及联合检测ALP及γ－GT对这两种疾病的鉴别诊断有较大的参考价值。
Objective: To investigate the clinical characteristics of hyperthyroidism associated with chronic hepatitis B and hyperthyroidism liver disease. Methods: 26 cases of hyperthyroidism with chronic hepatitis B and 24 cases of gram-positive liver disease clinical symptoms, signs, some biochemical indicators and thyroid function measured values were compared. Results: The clinical symptoms of hyperthyroidism associated with chronic hepatitis B, spider nevus / liver palms more common; combined detection of ALP, γ-GT and TBil, ALB, PTA and other test values for the identification of these two groups of diseases have greater reference Value, ALT test value less than the reference value of AST; thyroid function of T3, T4, TSH test values between the two groups no significant difference. Conclusion: The results of AST and combined detection of ALP and γ-GT have a great reference value in the differential diagnosis of these two diseases.