病毒性肝炎合并甲状腺功能亢进症11例临床分析  

Clinical Analysis on 11 Viral Hepatitis Complicated with Hyperthyroidism Cases

作　　者：李芹[1] 李显蓉[2] 邓存良[1] 

机构地区：[1]泸州医学院附属医院感染科,四川泸州646000 [2]泸州医学院附属医院普外科,四川泸州646000

出　　处：《寄生虫病与感染性疾病》2004年第3期109-110,共2页Parasitoses and Infectious Diseases

摘　　要：目的　分析病毒性肝炎合并甲亢时的病情 ,探讨有效治疗方案。方法　选择病毒性肝炎合并甲状腺功能亢进症 1 1例 ,仅予护肝支持对症治疗 9例 ,护肝和 13 1碘治疗 2例。结果　病毒性肝炎合并甲亢大多肝功损害明显 ,病情较重 ,其中重型肝炎 5例 ,慢性肝炎重度 4例 ,慢性肝炎中度 2例。 9例不抗甲亢治疗效果差 ,2例 13 1碘治疗病情好转。结论　病毒性肝炎合并甲亢易造成肝损害及甲亢加重 ,不抗甲亢治疗预后差。Objective To analyse the state of illness of viral hepatitis cases complicated with hyperthyroidism and to probe the effective treatment. Method 11 viral hepatitis cases (5 hepatitis gravis, 4 severe chronic hepatitis and 2 moderate chronic hepatitis) were studied. 9 cases were treated with heteropathy and hepatinica only but other 2 cases (1 hepatitis gravis, 1 severe chronic hepatitis) with heteropathy, hepatinica and 131 I therapy. Result 6 months follow-up study showed that the liver and thyroid function were recovered in 2 cases treated with 131 I while the efficacy was much morse in other 9 cases treated with heteropathy and hepatinica only. Conclusion In addition to heteropathy and hepatinica, 131 I therapy was effective for treating viral hepatitis with hyperthyroidism cases.

关 键 词：病毒 肝炎 甲状腺功能亢进症 ^131碘治疗 

分 类 号：R512.6[医药卫生—内科学] R581.1[医药卫生—临床医学]