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本文报告了24名急性心肌梗塞病人的外周甲状腺激素代谢。对8例心肌梗塞好转患者作了动态观察。结果表明急性心肌梗塞病人在病变早期除有酶学、Mb 的改变外,还伴有外周甲状腺素的变化。T_3、T_4的下降,rT_3的上升。动态观察表明:病人入院第一天 T_3、T_4处于一个低水平,rT_3则处于一个明显高水平。一周后 T_3回升。T_4则是缓慢回升。rT_3逐渐下降。4例心肌梗塞死亡患者 rT_3的血中浓度为症状好转组的三倍。心肌梗塞患者出现低 T_3、T_4高 rT_3血症者预后不良。机理有待进一步研究。
This article reports the peripheral thyroid hormone metabolism in 24 patients with acute myocardial infarction. 8 cases of myocardial infarction improved patients made a dynamic observation. The results showed that in patients with acute myocardial infarction early in addition to changes in enzyme, Mb, also accompanied by changes in peripheral thyroxine. T_3, T_4 decline, rT_3 rise. Dynamic observation showed that T 3, T 4 were at a low level and rT 3 was at a significantly higher level on the first day of admission. After a week T_3 pick up. T_4 is slowly picked up. rT_3 gradually decreased. Four patients died of myocardial infarction rT_3 in the blood concentration of symptoms improved group three times. Patients with myocardial infarction appear low T_3, T_4 high rT_3 hyperlipidemia prognosis. Mechanism needs further study.