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重型急性胰腺炎患者血清甲状腺激素水平的变化及其意义
引用本文:郦敏,沈凌炜,刘其昌. 重型急性胰腺炎患者血清甲状腺激素水平的变化及其意义[J]. 浙江医学, 2004, 26(2): 91-92
作者姓名:郦敏  沈凌炜  刘其昌
作者单位:310009,杭州,浙江大学医学院附属第二医院
摘    要:目的探讨重型急性胰腺炎(SAP)患者血清甲状腺激素含量的动态变化规律及其临床意义.方法用免疫化学发光法测定32例SAP患者的甲状腺激素(TT3、TT4、FT3、FT4和TSH),并与30例健康人作对照.结果SAP组的TF3、FT3、TT4明显低于对照组(P<0.01或<0.05);TT3、FT3在SAP急性期明显下降,而在SAP稳定期明显回升(均P<0.01).结论血清甲状腺激素含量的测定可作为评估SAP病情严重程度和预后的指标之一.

关 键 词:胰腺炎  甲状腺激素  转归
修稿时间:2003-07-29

Significance of measurement of thyroid hormone in severe acute pancreatitis
LI Min,SHEN Lingwei,LIU Qichang. Significance of measurement of thyroid hormone in severe acute pancreatitis[J]. Zhejiang Medical Journal, 2004, 26(2): 91-92
Authors:LI Min  SHEN Lingwei  LIU Qichang
Affiliation:LI Min,SHEN Lingwei,LIU Qichang.The Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou310009,Chi na
Abstract:Objective To study the changes of serum thyroid hormone in severe acute pancreatitis(SAP)and to explore its clinical value.Methods The levels of TT 3 ,FT 3 ,TT 4 ,FT 4 and TSH were measured in32cases of SAP and30healthy subjects by chemiluminescence immunoassay.Results The serum TT 3 ,FT 3 and TT 4 were lower and sig nificantly different in the group with SAP when compared with the healthy group(P<0.01or<0.05).The serum levels of TT 3 and FT 3 of the patients in the acute phase were sig nif i-cantly lower than those of patients in the stable phase of SAP(P<0.01).Conclusion The serum thyroid hormone was helpful in clinical use by judging the severity of the disease and also for prognosis.
Keywords:Severe acute pancreatitis Thyroid hormones Prognosis
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