【摘要】 本文报告甲状腺机能亢进合并病毒性肝炎22例。发现甲亢合并肝炎者具有病情重、黄疸深、肝功能损害明显等特点。同时两者常互为因果,相互影响。对其病理生理和治疗亦作了讨论。更多还原

【Abstract】 22 cases of hyperthyroidism complicated by viral hepatitis were presented. The clinical features were: (1) females were more frequently seen than males; (2) hyperthyroidism was aggravated by viral hepatitis; (3) the clinical manifestations of the viral hepatitis were more severe than usual, most cases showed severe jaundice, extreme malaise, apathy, weight loss, severe diarrhea, etc; (4)most cases exhibited marked impairment of liver function, e.g. hypocholesterolemia, hypocholesterolesteremia, hypoalbuminemia, hypoprothrombinemia, etc; (5) the rate of HBs antigenemia was low (only 13％); (6) the patients responded well to steroid therapy; (7)the patients with hyperthyroidism in crisis complicated by severe form of viral hepatitis showed the most severe clinical condition and (8) the overall mortality was 22％. The pathophysiology and treatment of hyperthyroidism complicated by viral hepatitis were discussed.更多还原