论文部分内容阅读
目的探讨Graves病合并肝脏损伤的特点,从而为临床治疗提供帮助。方法对30例Graves病合并肝脏损害患者的游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺素激素(TSH)、总胆红素(TB)、直接胆红素(DB)、丙氨酸转氨酶(ALT)、谷氨酸转氨酶(AST)、总蛋白(TP)、白蛋白(ALB)及临床表现、治疗方法进行总结分析。结果治疗后FT3、FT4下降早于ALT、AST、TB、DB,肝功能损害程度与甲亢严重程度相一致。结论甲亢与肝损伤二者可发生相互影响,及时、有效地治疗可使甲亢肝较快恢复。
Objective To investigate the characteristics of Graves’ disease complicated with liver injury and to provide help for clinical treatment. Methods Thirty patients with Graves’ disease complicated with liver injury were divided into three groups: free triiodothyronine (FT3), free thyroxine (FT4), thyrotropin (TSH), total bilirubin (TB), direct bilirubin DB, ALT, ALB, total albumin (ALB), clinical manifestations and treatment methods were analyzed retrospectively. Results The FT3 and FT4 descended earlier than ALT, AST, TB and DB after treatment, and the extent of liver dysfunction was consistent with the severity of hyperthyroidism. Conclusion Hyperthyroidism and liver injury both may have an impact on each other, timely and effective treatment of hyperthyroidism can quickly restore the liver.