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肝脏是甲状腺代谢的重要器官,尤其是甲状腺素(T_4)转化形成3,5,3′—三碘甲腺原氨酸(T_3)的主要部位。肝病患者甲状腺激素的变化,近年来国内、外均陆续有报导,对其临床意义也逐渐增加了认识。本文总结64例肝硬化失代偿期患者血清T_3、T_4测定的结果,并探讨其变化与肝功能及肝病预后的关系。研究对象及方法一、对象患者共64例,男性54例,女性10例,男:女=5.4:1。年龄26—77岁,平均48岁,均为临床确诊肝硬化失代偿期的住院患者,其中肝炎后肝硬化47例(HBsAg阳性31例),酒精性肝硬化7例,心源性肝硬化1
The liver is an important organ of thyroid metabolism, especially the conversion of thyroxine (T_4) to the main site of 3,5,3’-triiodothyronine (T_3). Thyroid hormone changes in patients with liver disease, both at home and abroad in recent years have been reported, its clinical significance has gradually increased awareness. This article summarizes the results of serum T_3 and T_4 in 64 patients with decompensated liver cirrhosis and explores the relationship between the changes and the prognosis of liver function and liver disease. Subjects and methods First, the object of a total of 64 patients, 54 males and 10 females, male: female = 5.4: 1. Age 26-77 years, average 48 years old, are clinically diagnosed patients with decompensated liver cirrhosis, including 47 cases of post-hepatitis cirrhosis (HBsAg positive in 31 cases), alcoholic cirrhosis in 7 cases, cardiogenic cirrhosis 1