131I成功治疗甲状腺危象合并严重肝损害个例报道.pdfVIP

2(阳年8 月第47 卷第 24 期 ·个案报道· A Presenting with Successful 1311 Therapy of Thyroid Stonn Accompanying Severe Hepatitis: a Case Report QIN Xiaobo HU Pengl (Chon阴ing Liver Di盼as倒 Res础rch and Treatment Center. Nation aI Key Department of Medicine. the Second ColIege of ClinicaI Medicine the Second Affiliated Hospital of Chongqing Medical Univercity ,Chongqing 4似.lOlO ) (Abstract] Introduction Thyrotoxíc咽is hepatitis is ωmmon.lt is difficult in therapy. especially 由yroid crisis with seve陀 hepatitis. propylthiouracil-induced hepatic disfunction 皿d even hepatic failure or 蜘vere hepatìtis or fulminanl hepatitis is come to light. as is m础imazole. lf propylthiouracil or methimazole controls hyperthroidism .liver disfunction would be deteriorated. and even patient die. If we only treat hepatitis. hyperthroidism couldnt be controled ,the patient would al喃 be worsen. Methods 131 1 therapy for 0时 cures hype州ymidism •meanwhils liver dysfunction can return ωnorma!. R.棚ults 四川to对c crisis wωunder control.and liver function had 伊Mual relurn. Concln.sion 131 1 can be reco，伊ized as the safer. more convenient and effective and feasible trealment than ATD for th严。toxicωis hepatitis.There were no harmful side effects or complications. It should be widely apply clinically. (Key Words] Hype时lymidsm;H叩atitisj J3l1 日11 成功治疗甲状腺危象合并严重肝损害个例报边 秦晓搅胡鹏A (重庆医科大学第二附属医院感染科，肝病研究所，国家级重点实验室，最庆4α.lOlO) [摘要]背景甲状腺功能亢