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目的:探讨老甲状腺激素的变化对年脓毒症患者预后的评估作用。方法:分析老年脓毒症患者临床资料,进行APACHE Ⅱ评分与SIRS评分,根据患者是否发生MODS及预后分成2组,分别比较2组甲状腺激素的水平。结果:老年脓毒症患者病情越严重,血清游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)下降越明显。结论:甲状腺激素水平可以反映老年脓毒症患者的病情,甲状腺激素水平越低,病情越重,死亡率越高。
Objective: To evaluate the effect of the change of the old thyroid hormone on the prognosis of patients with sepsis. Methods: The clinical data of senile sepsis patients were analyzed. APACHE Ⅱ score and SIRS score were analyzed. Two groups were divided into two groups according to whether MODS or prognosis occurred. Thyroid hormone levels were compared between the two groups. Results: The more serious the elderly sepsis patients, serum free triiodothyronine (FT3), free thyroxine (FT4) decreased significantly. Conclusion: The level of thyroid hormone can reflect the condition of elderly patients with sepsis. The lower the thyroid hormone level, the heavier the disease, the higher the mortality rate.