The Children’s Hospital: Wang Ningsui et al.. STUDY OF ENDOCRINOLOGIC CHANGES IN THALASSEMIA. [J]. Journal of Chongqing Medical University (3):205-207(1988)
The Children’s Hospital: Wang Ningsui et al.. STUDY OF ENDOCRINOLOGIC CHANGES IN THALASSEMIA. [J]. Journal of Chongqing Medical University (3):205-207(1988) DOI: 10.13406/j.cnki.cyxb.1988.03.013.
STUDY OF ENDOCRINOLOGIC CHANGES IN THALASSEMIA
摘要
利用放射免疫法对33例地中海贫血病人进行多项内分泌功能测定.结果表明
血清铁蛋白、血清皮质醇明显增高
血清T
3
、T
4
显著减低
血清TSH、胰岛素改变无明显差异.提出及时纠正贫血
防治感染和降低铁负荷
对预防本病内分泌功能改变同样重要
Abstract
Up to now no specific therapy is available in thalassemia. With transfusion therapy patients often suffer its consequences of chronic iron overload and multiple endocrine deficiencis. But no report is seen in our country. We detected Serum T3
T4 TSH corticosterol(CS)
ensulin (Ins) and serum ferritin (FS) of 33 cases with thalassemias and control group SF levels of patients are clearly higher (101.80±97.50ng/ml vs. 34.73±18.75ng/ml
p<0.001)and T3(1.01±0.33ng/ml)
T4(11.58±3.72ug/dl) were remarkably lower than control group. It iuggested thyroids of them were involved.The relation of serum TSH change betwveen patients and control group had no difference. Increasing serum CS levels of patients may be due to adrenal lesion and provocate reaponse of hypothalamic pituitary-adrenal axis.Serum Ins change had no significant differences in two groups.It concluded that the endocrinologic changes in thalassemia could be secondary to the effects chronic iron loading
chronic anemia and repeated infection. So it is important for us to correct the anemia
decrease the iron loading and prevent infections disease for thalassemia patients