论文部分内容阅读
本文观察了45例慢性肾功能减退者甲状腺激素变化,结果:T_3、FT_3、T_3/rT_3比值均明显低于正常,rT_3(ReverseT_3)、FT_4、TSH均值均明显高于正常对照;按病情轻重分组观察及相关检查示:rT_3、T_3、T_3/rT_3比值、TSH的变化与病情严重程度密切相关;慢性肾功能减退者真正甲减者不多,但据T_3、FT_3、T_4、FT_4明显下降且伴TSH升高者可确诊为甲减;甲状腺激素的测定对慢性肾功能减退者病情程度的判断、预后的估计,以及与原发性甲减的鉴别均有重要价值。
In this paper, the changes of thyroid hormones in 45 patients with chronic renal failure were observed. The results showed that the ratios of T_3, FT_3 and T_3 / rT_3 were significantly lower than those in normal controls. The mean values of rT_3 (ReverseT_3), FT_4 and TSH were significantly higher than those of normal controls Observations and related tests showed that the ratio of rT_3, T_3, T_3 / rT_3 and TSH were closely related to the severity of the disease. The patients with chronic hypothyroidism did not have much hypothyroidism. However, T_3, FT_3, T_4 and FT_4 decreased significantly TSH elevated can be diagnosed as hypothyroidism; thyroid hormone determination of chronic renal failure to determine the extent of the disease, the prognosis of the prognosis, as well as the identification of primary hypothyroidism are of great value.