锂与缺碘性甲状腺肿发病关系的实验研究

实验用Wistar大鼠125只。随机分成五组。动物实验期为20周。结果显示:单纯低碘或单纯高锂的大鼠均表现为增生性甲状腺肿的组织学改变及血清T_4降低、T_3升高;前者甲状腺上皮细胞增生较后者显著,后者甲状腺滤泡腔内胶质含量较多。低碘合并高锂摄入的大鼠,其甲状腺病变较单纯低碘或单纯高锂大鼠严重,并呈明显的胶性甲状腺肿组织学改变,血清T_4降低、T_3正常。可见高锂不仅有致甲肿作用,而且当它与低碘并存时,将加重甲状腺的病变,并使其向胶性甲状腺肿发展。

Effect of lithium on the development of iodine-deficiency goitre

125 Wistar rats were divided into five groups randomly. The experimental period was 20 weeks. The results showed that both in the rats drinkcd water containing 6mM Li_2CO_3. and the rats with iodine-deficiency alone, their thyroid gland increased in weight and showed a pattern of hyperplatic goitre; their serum T, dropped which T_3 was increased. These changes were more marked in the rats with iodine deficiency and the activity of thyroid superoxidas strengthened. But in the rats that drinked water containing 6mM Li_2CO_3 there was more colloid in the follicular lumens of the thyroid. Under the condition of iodine deficiency, the rats that drinkcd water containing 3mM and 6mM Li_2CO_3 had larger and heavier thyroid gland, and their serum T_4 dropped which T_3 remained normal. Compared with the rats which had iodine deficiency along, their thyroid glands showed a typical picture of colloid goitrc. In the iodine deficiency rats which drinked water containing 3mM Li_2CO_3 the change of the thyroid gland was even more marked.