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目的:总结分析临床甲状腺功能亢进性肝损害的临床特点及其治疗观察。方法:将我院内分泌科90例确诊为甲状腺功能亢进性肝损害的患者,按治疗方法不同分为护肝组和甲状腺组各45例。护肝组患者采用传统保肝治疗,甲状腺组在保肝治疗的基础上另用抗甲状腺药物治疗,观察对比两组患者治疗后甲状腺与肝功能及其临床特点。结果:治疗前两组患者甲状腺功能与肝功能各指标比较无差异(P>0.05);治疗后甲亢功能对比,甲状腺组的甲亢功能、肝功能各治疗优于护肝组(P<0.05)。结论:临床上若发现不明原因肝损害时要注意排除甲亢,肝功能检查显示有肝损害的患者要及时给予合理抗甲状腺治疗与对症治疗,同时佐以保肝、营养支持治疗后,患者预后良好。
Objective: To summarize and analyze the clinical features and treatment of clinical hyperthyroidism liver damage. Methods: 90 cases of endocrinology hospital confirmed hyperthyroidism in patients with liver damage, according to the different treatment methods are divided into liver protection group and thyroid group of 45 cases. Liver protection patients with traditional liver protection treatment, thyroid treatment group based on the other with anti-thyroid drugs, observed and compared the two groups of patients after treatment of thyroid and liver function and clinical features. Results: There was no significant difference between the two groups before and after the treatment (P> 0.05). After treatment, the thyroid function and thyroid function were better than that of the liver protection group (P <0.05). Conclusion: Clinically, we should pay attention to the exclusion of hyperthyroidism when liver damage is unknown, and patients with liver damage should be given reasonable anti-thyroid and symptomatic treatment in time, together with liver protection and nutritional support, the prognosis is good .