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第一医院老年科
纸质出版日期:1995,
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[1]曾凡荣,刘永碧,马厚勋,吴平,蒲霞, 罗加,吴应珍.老年非甲状腺疾病重危患者甲状腺功能检测及评价[J].重庆医科大学学报,1995(02):102-104.
Zheng Fanrong, et al. THYROID FUNCTION IN THE CRITICALLY 111 ELDERLY PATIENTS WITH NON THY-ROID DISEASES[J]. Journal of Chongqing Medical University, 1995,(2).
本文报告老年非甲状腺疾病重危患者的甲状腺激素水平改变。老年患者组118例,其中重危患者54例。结果:老年正常对照组T_3较成年正常对照组明显降低(P<0.05):老年患者组血清T_2较老年正常对照组明显降低(P<0.05).FT_3显著降低(P<0.01);rT_3显著增高(P<0.01);恶性肿瘤有广泛转移者与未发现较移者、有重度心衰与心功能代偿者,有呼吸衰竭与无呼吸衰竭者,前者较后者血清T_3、FT_3均明显降低(P<0.05或P<0.01)、rT_3明显增高(P<0.05或P<0.01)。这种变化可以作为估计老年患者病情严重程度及预后的一项重要指标。
erum total thyroxine (TT4).triiodothyronine(T3).Free T3 and Free T4
reverse triiodothyronine(rT3) and thyroid stimulating hormone(TSH) were determined in 118 elderly patients with non-thyroid diseases
30 healthy elderly. Serum TT
4
T
3
.FT
3
FT
4
in the elderly patients were significantlylower than those in the healthy elderly and normal adults (P
<
0. 01 or P
<
0. 05)and rT3 was con-siderablv higher(P
<
0. 01)Serum T3 and FT3 in elderly patients with pulmonary diseases lower inthose complicated with respiratory failure than those without respiratory failure(P
<
0.01).and rT 3higher(P
<
0.01). Serum T3 and FT3 in elderly lower in those complicated with severe heart failurethan those without heart failure (P
<
0.01).and rT3 remarkably higher
Serum T3 and FT3 in patientswith malignant tumor were signficantly lower in those complicated metastasis than those withoutmetastasis (P
<
0.01)
and rT 3 remarkably higher.No significant change in serum T4.FT4 and TSHwas found in those patients
Serum T3
FT 3 and rT3 in the elderly patients can be used to evaluatethe severity of the diseases and to predict their prognoses
非甲状眼疾病甲状腺激素
Non-Thyroid diseasesThyroid Function
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