甲亢并慢性重型乙型肝炎的治疗  

Therapy for Hypethyroidism Complicated with Chronic Sereve Viral Hepatitis Type B

作　　者：朱惠敏[1] 张颖[1] 钟菊珍[1] 张瑛[1] 

机构地区：[1]深圳市第三人民医院内科,518000

出　　处：《岭南急诊医学杂志》2009年第4期299-300,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:分析甲亢合并慢性重型乙型肝炎时的病情,探讨有效的治疗方案。方法:回顾性分析甲亢合并慢性重型乙型肝炎12例的临床资料,仅予护肝支持治疗8例,口服抗甲状腺药物3例,1例给予^(131)碘治疗。结果:甲亢合并重型肝炎时肝功能严重受损,T_4型甲亢较多见,8例不抗甲状腺治疗效果差,1例^(131)碘治疗合并血浆置换病情好转。结论:^(131)碘治疗结合血浆置换可望成为临床治疗甲亢合并重型肝炎的一种更为有效的新措施。Objective:To explore effective ways for therapy of hyperthyroidism complicated with chronic severe viral hepatitis type B.Methods:The clinic data of 12 patients with hyperthyroidism complicated with chronic severe viral hepatitis type B were analyzed.8 cases used supportive therapy for liver only,3 used antithyroid drugs and one used ^(131)I.Results:Liver function were injured severely in hyperthyroidism complicated with gravis hepatitis.T_4 hyperthyroidism was more common and the therapeutic effect of 8 cases without antithyroid use were bad.one patient was improved through ^(131)I therapy with plasmapheresis.Conclusion:^(131)I with plasmapheresis is expected to be a more effective method for hyperthyroidism complicated with severe hepatitis.

关 键 词：甲亢 慢性重型乙型肝炎 131碘治疗 T4型甲亢 血浆置换 

分 类 号：R581.1[医药卫生—内分泌] R512.62[医药卫生—内科学]