原发性甲亢合并严重肝损伤患者的循证治疗

Evidence-based Treatment for Patient with Primary Hyperthyroidism and severe Liver Injury

为原发性甲亢合并严重肝损伤患者制定循证治疗方案。根据PICO原则，提出临床问题并转换成便于检索的形式，检索美国国家指南交换中心（NGC）、Cochrane图书馆（2010年第3期）、PubMed（1995-2010．11）和维普数据库（CHKD，1995～2010．11）。根据检索结果，制定治疗方法，2月后患者肝功能、甲状腺功能均恢复正常。采用循证的方法治疗疾病，可提高治疗效果。

To summarize the case of primary hyperthyroidism associated with severe liver injury in patients with evidencebased treatment programs. Based on the PICO principle, clinical issues raised and converted into easily retrievable form, we searched National Guidelines Clearinghouse（NGC）. The Cochrane Library （Issue 3, 2010）, PubMed （1995 to November 2010）, and CHKD （1995 to November 2010）. Patients＇ treatment has been established according to search results, their liver function, thyroid function returned to normal 2 months after the treatment. The use of evidence--based treatment method for patient, obtain better clinical therapeutic effect.