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为探索老年人慢性肺心病的甲状腺功能状态,本文报告了52例老年慢性肺心病急性发作期血清T_3、T_4的变化。结果表明:肺心病老年组T_3、T_4显著低于健康组,与非老年组比较T_3降低有显著意义,恢复期较急性期T_3有明显回升,说明老年肺心病急性期T_3、T_4降低系机体的选择性适应,属于“甲状腺功能正常病态综合症”(ESS)。提示T_3不仅能协助判断病情的严重程度,并有判断预后的价值。
In order to explore the thyroid function of chronic cor pulmonale in the elderly, we report the changes of serum T 3 and T 4 in 52 elderly patients with chronic pulmonary heart disease during the acute attack. The results showed that T_3 and T_4 in elderly patients with cor pulmonale were significantly lower than those in healthy group, and there was a significant decrease in T_3 compared with non-elderly patients. The recovery of T_3 was significantly higher than that in acute period, indicating that the decrease of T_3 and T_4 in elderly patients with pulmonary heart disease Selective adaptation, are “normal thyroid dysfunction syndrome” (ESS). Tip T_3 can not only help determine the severity of the disease, and determine the value of prognosis.