摘要
目的 观察甲状腺素治疗肝硬化的近期疗效。 方法 肝硬化患者5例在保肝、利尿等综合治疗的同时,加用甲状腺素20 mg/d,连续1个月。随机选择同期住院的肝硬化腹水患者10例做对照进行比较。 结果 小量甲状腺素可以改善肝硬化患者的食欲,提高血清白蛋白和T_3,T_4水平,缩短腹水消退时间,而对TTT及ALT的变化无明显影响。 结论 小量甲状腺素可作为治疗肝硬化腹水的常规用药。
AIM To evaluate the effects of low - dose thyroxine in the treatment of cirrhosis with ascites.METHODS 15 patients with cirrhotic ascites were treated with thyroxine of 20 mg daily for one month in addition to conventional treatment. A control group of 10 patients with cirrhotic ascites received the same treatment without thyroxine.RESULTS Low - dose thyroxine increased the levels of serum albumin and T3 and T4, and promoted the decrease of ascites and improved the patients'appetite. The thyroxine therapy, however, did not produce any effect on the levels of TTT and ALT. No side- effects were noticed. CONCLUSIONS Low - dose thyroxine can be used routinely in the treatment of cirrhotic ascites.
关键词
甲状腺素
肝硬变
腹水
治疗
liver cirrhosis thyroxine ascites liver function
