论文部分内容阅读
本文对135例经~(131)碘摄取率或 T_3、T_4确诊的甲亢患者(未经治疗100例、经治疗35例)和年龄相近的正常人进行血气分析,结果未治疗组 PVO_2比对照组明显增高(P<0.05),a-VDO_2小于治疗组(P<0.05),PVO_2与心率呈正相关(r=0.287,P<0.01),与 T_4浓度亦呈正相关(r=0.279,P<0.05),PaO_2和 pH 均在正常范围。以上观察提示甲亢患者摄氧率低于正常人,治疗后 PVO_2恢复到正常;PaO_2、PVCO_2、pH 正常,PVO_2、SaO_2、a-VDO_2升高,甲亢病人血气分析可作为诊断甲亢的依据,PVO_2与 T_4浓度,心率呈正相关,因此可作为鉴定甲亢的严重程度和对治疗反应的方法之一。
In this paper, blood gas analysis was performed in 135 patients with hyperthyroidism diagnosed as 131I uptake or T_3 and T_4 (100 untreated and 35 treated) and normal subjects of similar age. The results showed that the PVO_2 in untreated group was higher than that in control group (P <0.05). There was a positive correlation between PVO_2 and heart rate (r = 0.287, P <0.01) and positively correlated with T 4 (r = 0.279, P <0.05) , PaO_2 and pH are in the normal range. The above observations suggest that patients with hyperthyroidism oxygen uptake rate was lower than normal, after treatment PVO_2 returned to normal; PaO_2, PVCO_2, normal pH, PVO_2, SaO_2, a-VDO_2 increased blood gas analysis can be used as a basis for diagnosis of hyperthyroidism, PVO_2 and T_4 concentration, heart rate was positively correlated, it can be used as the identification of the severity of hyperthyroidism and response to treatment one of the ways.