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目的通过了解大连市第二人民医院不同肝病的血清甲状腺激素水平,从而探讨不同肝病的血清甲状腺激素水平的变化及其对肝病尤其是慢性肝炎、肝硬化、肝癌等疾病的临床诊断、治疗、判断预后的意义。方法所选病例均为2008年7月至2009年3月大连市第二人民医院住院的粗同类型肝病患者及此期间前来查体健康者,分为肝炎组(32例),肝硬化组(20例),肝癌组(15例)。正常对照组为门诊查体健康者40例。本次观察67例各种肝病患者的甲状腺激素水平的变化,与正常对照组比较然后探讨不同类型的肝病甲状腺激素水平的变化。结果总体来说,甲状腺激素在肝病基础上可出现低T3、T4、FT3综合征。结论 T3、T4对于肝病患者,不失为反映肝损害程度及判别预后较灵敏的辅助指标。测定肝病患者的血清甲状腺激素水平的变化对肝病尤其是慢性肝炎、肝硬化、肝癌等疾病的临床诊断、治疗、判断预后具有重要意义。
Objective To understand the changes of serum thyroid hormones in different liver diseases and to investigate the clinical diagnosis, treatment and diagnosis of liver diseases, especially chronic hepatitis, liver cirrhosis and hepatocellular carcinoma by understanding the serum thyroid hormone levels of different liver diseases in Dalian Second People’s Hospital. Significance of prognosis. Methods Selected cases were from July 2008 to March 2009 in Dalian Second People’s Hospital hospitalized patients with the same type of liver disease and physical examination during this period came to check, divided into hepatitis group (32 cases), cirrhosis group (20 cases), liver cancer group (15 cases). The normal control group was outpatient physical examination 40 cases. This observation of 67 cases of liver disease in patients with thyroid hormone levels, compared with the normal control group and then explore the different types of liver disease, thyroid hormone levels. Results Overall, thyroid hormones in the liver can be based on the low T3, T4, FT3 syndrome. Conclusion T3, T4 for liver disease patients, after all, reflect the extent of liver damage and prognosis more sensitive auxiliary indicators. Determination of serum thyroid hormone levels in patients with liver disease changes in liver disease, especially chronic hepatitis, cirrhosis, liver cancer and other clinical diagnosis, treatment, prognosis of great significance.