放射性碘[^(131)I]治疗Graves甲亢合并重症肝损害一例  

Radioactive iodine therapy for Graves hyperthyroidism with severe liver damage: a case report

作　　者：李敬彦 蒋宁一[1] 

机构地区：[1]中山大学孙逸仙纪念医院核医学科,广州510120

出　　处：《新医学》2013年第12期866-868,共3页Journal of New Medicine

摘　　要：Graves病甲状腺功能亢进症(Graves甲亢)合并肝损害的患者临床表现多种,而合并重症肝损害表现较为复杂,预后亦可能较差。该文报道1例Graves甲亢同时合并重症肝损害患者的起病及诊治经过,为临床医生识别、诊治该疾病提供参考。该患者于肝功能稳定后接受放射性碘[131I]治疗,病情好转、恢复良好,因此,若有甲亢并疑有重症肝损害的病例,应及早明确诊断予以治疗,以免延误病情,发生严重不良后果。Graves＇ disease in patients with liver damage can present with a variety of clinical mani-festations. In the cases of severe liver damage, symptoms can be more complicated with poor prognosis. In this paper, We reported a case of Graves patients with severe liver damage, whose onset of illness, diagnosis and treatment process was described in order to provide a reference for clinical identification, diagnosis and treat-ment of the disease. The patient received radioactive iodine [ ^131 I ] treatment when her liver function im-proved. Patients of hyperthyroidism suspected with severe liver damage, should be diagnosed and treated imme-diatedly so as not to deteriorate the condition.

关 键 词：甲状腺功能亢进症 肝损害 碘放射性同位素 中药 

分 类 号：R581.1[医药卫生—内分泌]