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本文对55例出血热患者甲状腺功能进行了动态观察,结果表明出血热患者血清促甲状腺素(TSH)明显高于正常人;总 T_3(TT_3)、总 T_4(TT_4)则不同程度的低于正常,反 T_3(rT_3) 与 TT_3 呈相反方向的变化,即当 TT_3 降低时 rT_3上升。上述变化以低血压、少尿期为明显,提示出血热病程中除有强烈的应激反应外,还有低 T_3及/或低 T_4综合征存在。血清 TT_3/rT_3比值的变化能反映病情的轻重。
Thyroid function was observed in 55 hemorrhagic fever patients. The results showed that the serum thyrotropin (TSH) of patients with hemorrhagic fever was significantly higher than that of normal people. The total T_3 (TT_3) and total T_4 (TT_4) were lower than normal , Reverse T_3 (rT_3) and TT_3 in the opposite direction of change, that is, when TT_3 decreased rT_3 rise. The above changes to hypotension, oliguria was obvious, suggesting that in addition to a strong stress response to the course of hemorrhagic fever, there are low T_3 and / or low T_4 syndrome. Serum TT_3 / rT_3 ratio changes reflect the severity of illness.