论文部分内容阅读
急慢性非甲状腺疾病伴有多种血清甲状腺激素指标的改变,包括总甲状腺素(T_4)减低,平衡透析的游离T_4正常,总三碘甲腺原氨酸(T_3)、游离T_3减低,总反T_3(rT_3)、游离rT_3增高,而肾性非甲状腺疾病的总rT3正常。以往报告的肾脏疾患均伴有继发性甲状旁腺功能亢进,所以高浓度的血清甲状旁腺激素(PTH)可能影响rT_3代谢。作者推测肾小球滤过率正常的原发性甲状旁腺功能亢进病人的血清甲状腺激素指标可能与肾疾患者类
Acute and chronic non-thyroid diseases are associated with changes of serum thyroid hormones, including reduction of total thyroxine (T_4), free T_4 of normal dialysis, total triiodothyronine (T_3), decrease of free T_3, T_3 (rT_3), free rT_3 increased, while the total non-rT3 renal non-thyroid disease is normal. Previous reports of kidney disease are associated with secondary hyperparathyroidism, so high concentrations of serum parathyroid hormone (PTH) may affect rT_3 metabolism. The authors speculate that patients with normal primary glomerular filtration rate hyperparathyroidism serum thyroid hormone levels may be associated with renal disease patients