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桥本氏病患者的激素水平与摄碘功能

HORMONE LEVELS AND RAIU OF HASHIMOTO‘S DISEASE
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摘要 对66例桥本氏病患者的垂体-甲状腺轴激素水平和摄碘功能进行了测定。将结果按甲功判断标准分析,剔除7例有疑者,对59例作临床归类:甲功正常占42.37%;亚甲低占38.98%;甲低占11.86%;甲亢占6.78%。对个案动态观察结果表明,前4种甲功状态可以互变。激素水平对亚甲低,甲低患者的甲功判断,按价值大小,依次是TSH、TT_4、rT_3和TT_3;对甲亢TT_3优于TT_4。而RAIU结果则呈正常、升高、降低三种变化,离散度大,无规律可循。 The Ievels of hypothysis-thyroid axis hormone and results of RAIU in sixty-six patients with Hashimoto's disease have been determined. According to the diagnostic criterion of thyroid function, fifty-nine patients except seven doubtful patients are classified as normal (42.37%), subclinical hypothyroidism (38.98%), hypothyroidism (11.86%) and hyperthyroidism (6.78%). Dynamic observation proved that the above four conditions can be turned into each other. The values of hormone Ievels in subclinical hypothyroidism and hypothyroidism could be ordered as follows: TSH, TT_4, rT_3, TT_3; TT_3 in prior of TT_4 in hyperthyroidism. The results of RAIU could be represented normal, decrease and increase but with high dispersion and no rule can be found.
出处 《同位素》 CAS 北大核心 1993年第2期96-99,共4页 Journal of Isotopes
关键词 促甲状腺素 碘摄取 激素 桥本氏病 thyroid stimulating hormone (TSH) total thyroxine (TT_4) total triiodothyronine (TT_3) reverse triildothyronine (rT_3) radioactive iodine uptake (RAIU) hashimoto's disease
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  • 1戴蔼善,中华内分泌代谢杂志,1988年,4期,175页
  • 2戴蔼善,国内外医学科学进展,1985年,5期,80页
  • 3张光正,上海免疫学杂志,1984年,4期,275页
  • 4戴蔼善,上海医学,1981年,4期,698页

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