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笔者诊治1例病毒性肝炎并发甲状腺功能减低,兹报告如下: 1 临床资料 患者,男性,43岁。因肝功能反复异常半年余,伴极度疲乏两个多月而就诊。缘于1999年11月中旬,自觉乏力、纳呆,查肝功能单项谷丙转氨酶(ALT)2 717 nmol·s~(-1)·L~(-1)(163 IU/L),伴抗-HBe、抗-HBc阳性,治疗34d,ALT降至正常出院。2000年2月自觉乏力加重,颜面浮肿,复查肝功能ALT 1 167 nmol·s~(-1)·L~(-1)(70 IU/L),谷草转氨酶(AST)983nmol·s~(-1)·L~(-1)(59 IU/L),碱性磷酸酶(AKP)1.3μmol·s~(-1)·L~(-1)(80 IU/L),3月16日再次住院。查体:体温36.2℃,血压110/70mmHg。表情淡漠,反应稍迟钝,面部
I diagnosed a case of viral hepatitis complicated by hypothyroidism, it is reported as follows: 1 clinical data, male, 43 years old. Abnormal liver function due to repeated more than six months, with extreme fatigue for more than two months and treatment. Due to the mid-November 1999, consciously fatigue, poor appetite, check the liver function of single alanine aminotransferase (ALT) 2 717 nmol · s -1 · L -1 (163 IU / L), with anti -HBe, anti-HBc positive, treatment 34d, ALT dropped to normal discharge. In February 2000, the patients were consciously exhausted, their facial edema was increased, and the liver function ALT was found to be 1 167 nmol · s -1 · L -1 (70 IU / L) and aspartate aminotransferase (AST) 983 nmol · s ~ (-1) 1) · L -1 (59 IU / L) and alkaline phosphatase (AKP) 1.3 μmol · s -1 · L -1 (80 IU / L) on March 16 Hospital again. Physical examination: body temperature 36.2 ℃, blood pressure 110 / 70mmHg. Indifferent expression, reaction dull, face