摘要
目的探讨充血性心力衰竭 (CHF)患者血清甲状腺激素及促甲状腺激素水平的变化及其临床意义。方法用放射免疫法测定70例CHF患者和30例正常人血清三碘甲状腺原氨酸 (T3)、四碘甲状腺原氨酸 (T4)、游离T3(FT3) ,游离T4(FT4)、促甲状腺激素 (TSH)。经治疗60例病情明显好转 ,其中46例复查上述参数。结果轻度CHF患者甲状腺激素无明显变化 ;重度CHF患者T3明显降低 ,心衰越重变化越明显 ,T4、FT3、FT4、TSH无明显变化 ;心衰减轻后T3明显升高。结论血清T3水平的改变对判断CHF严重程度。
Objective To explore the serum levels of thyroixine and TSH in patients with congestive heart failure (CHF). Methods 70 CHF cases were studied with 30 cases as the control so as to reveal the serum levels of triiodothyronine (T3), thyroxine (T4), free T3 (FT3),free T4 (FT4) and thyroid-stimulating hormone (TSH) by using radioimmunoassay. Results In the advanced CHF cases, T3 was significantly reduced which got worse with progressing CHF conditions but was raised greatly after the treatment. Conclusion serum T3 changes in the CHF cases could serve as an index of the CHF severity, therapeutic efficacy and prognosis.
出处
《浙江临床医学》
2000年第9期586-587,共2页
Zhejiang Clinical Medical Journal
