56例肝脏疾病的甲状腺功能观察

The function of thyroid gland in liver disease (reports of 56 cases)

观察56例各种肝病时的甲状腺功能,体会到急性病毒性肝炎尤其是小儿患者,会出现高T_3、T_4现象,在肝硬化、慢性肝炎、亚急症肝炎,则有明显的低T_3综合征。这时均无相应甲状腺功能紊乱的临床表现。出现显著低T_3、T_4者,均有病情重,预后不良的特征。略谈及这些临床现象的可能原因和我们的治疗体会。

Having observed the thyroid gland function of 56 patients suffered from varied liver diseases,we found that high T_3 and T_4 syndrome occurred in patients with acute virus hepatitis especially infant cases and that low T_3 syndrome occurred obviously in patients with hepatocirrhosis, chronic hepatitis and subacute hepatitis. However, the relative clinical findings of dystyhreosis have not been discovered in both the conditions mentioned above ,The patients with remarkable low T_3 and T_4 showed the features of serious diseases and worse prognosis, in this article, we analysed the possible causes resulted in these phenomena and introduced our experiences of the treatment.