| 急性心肌梗塞时甲状腺激素变化的临床意义 |
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| 引用本文： | 蔡仕林,陈枫,房庆元,赵华月. 急性心肌梗塞时甲状腺激素变化的临床意义[J]. 华中科技大学学报(医学版), 1989, 0(Z2) |
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| 作者姓名： | 蔡仕林 陈枫 房庆元 赵华月 |
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| 作者单位： | 同济医科大学附属同济医院内科(蔡仕林，陈枫，房庆元)，同济医科大学附属同济医院内科(赵华月) |
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| 摘 要： | 本文报道18例急性心肌梗塞(AMI)时的甲状腺激素变化。AMI时T_3和T_3/rT_3比值暂时性降低,rT_3暂时性升高。梗塞范围越大,上述变化越明显。其中11例进行了治疗前后对比研究,结果证明随着病情的好转,T_3和T3/rT3比值复升,rT_3复降;死亡4例,临死前T_3仍无明显上升,提示持续性低T_3血症者预后不良。AMI时甲状腺激素的测定,有助于判断梗塞范围大小、病情轻重和预后。
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| 关 键 词： | 急性心肌梗塞 甲状腺激素 |
Clinical Significance of Change in Serum Thyroid Hormones During Acute Myocardial Infarction |
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| Cai Shilin,Chen Feng,Fang Qingyuan,Zhao Huayue. Clinical Significance of Change in Serum Thyroid Hormones During Acute Myocardial Infarction[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 1989, 0(Z2) |
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| Authors: | Cai Shilin Chen Feng Fang Qingyuan Zhao Huayue |
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| Affiliation: | Cai Shilin,Chen Feng,Fang Qingyuan,Zhao Huayue Department of Internal Medicine,Tongji Hospital,Tongji Medical University,Wuhan |
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| Abstract: | Presented in this article is the change of serum thyroid hormones in 18 patients with acute myocardial infarction (AMI). Serum T3 level and T3/rT3 ratio decreased and rT3 increased temporaily The change of the hormones is positively correlated with the range of myocardial infarct. In 11 cases, comparison of the results before and after treatment revealed that, with the recovery of AMI, the serum T3 and T3/rT3 ratio resumed to increase and rT3 tended to drop.In 4 patients died, T3 failed to increase significantly before death. This implies the relationship between the persistent hypotriiodothyroninemia with poor prognosis of AMI.The results suggest that the detection of serum thyroid hormones in the patients with AMI would be helpful to the estimation of the range of infarct, severity and prognosis of AMI. |
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| Keywords: | acute myocardial infarction thyroid hormones |
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