| 慢性充血性心力衰竭血甲状腺激素变化的探讨 |
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| 引用本文： | 陶月玉,王荣鑫.慢性充血性心力衰竭血甲状腺激素变化的探讨[J].皖南医学院学报,1990,9(3):27-29. |
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| 作者姓名： | 陶月玉 王荣鑫 |
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| 作者单位： | 皖南医学院附属弋矶山医院内科，皖南医学院，皖南医学院附属弋矶山医院内科，皖南医学院附属弋矶山医院内科，皖南医学院附属弋矶山医院内科，皖南医学院附属弋矶山医院同位素室，皖南医学院附属弋矶山医院同位素室 进修医生 |
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| 摘 要： | 放射免疫方法测定67例慢性充血性心力衰竭患者和20例正常人血清T_3、T_4和TSH含量。结果显示:CCHF组血清T_3、T_4含量显著低于正常人(P<0.001～0.05);心衰程度越重,血清T_3、T_4水平越低。治疗后的CCHF患者血清T_3、T_4水平可有不同程度的回升,但心功能Ⅳ级组T_3、T_4含量仍显著低于正常人(P<0.05)。提示:CCHF患者低T_3、T_4水平部分是可逆的,T_3、T_4水平过于减低的明显心衰患者可能预后不良。
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| 关 键 词： | 充血性心力衰竭/血液 充血性心力衰竭/诊断 甲状腺激素/血液 |
INVESTICATION OF CHANGES OF BLOOD THYROXIN IN PATIENTS WITH CHRONIC CONGESTIVE HEART FAILURE |
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| Tao Yueyu,Chen Baoren,Wang Rongxin,Wu Caiyu,Ke Yungshen.INVESTICATION OF CHANGES OF BLOOD THYROXIN IN PATIENTS WITH CHRONIC CONGESTIVE HEART FAILURE[J].Acta Academiae Medicinae Wannan,1990,9(3):27-29. |
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| Authors: | Tao Yueyu Chen Baoren Wang Rongxin Wu Caiyu Ke Yungshen |
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| Abstract: | The serum T_3, T_4 and TSH concentrations of 67 patiens with chronic congestive heart failure (CCHF) and 20 normal cases were detemined with radioimmunoassay. The results showed: the serum T_3 and T_4 concentrations of the patients were much lower than those of the normal cases (P<0.001-0.05); the more severe the heart failure was, the lower the serum thyroxin level of patients; after proper treatment the serum T_3 and T_4 level in some of the pa- tients was restored to some degree, but it remained nuch lower than those of the normal subjects in patients with the fourth grade of heart function (P<0.05). It suggests that the low serum T_3 and T_4 level is partly restorable and in patients with severe heart failure the low concentrations of both T_3 and T_4 often presages a poor prognosis. |
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| Keywords: | hcart failure congcstive/BL hcart faillure congcstive/DI thyroid hormoncs/BL |
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