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胰岛素样生长因子Ⅱ过度分泌引起的非胰岛细胞肿瘤性低血糖——2例报告与文献复习 被引量:8

Non-islet cell tumor-induced hypoglycemia due to overproduction of insulin-like growth factor-Ⅱ——two case reports and literature review
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摘要 2例非胰岛细胞肿瘤性低血糖 (NICTH)患者血清中胰岛素样生长因子 (IGF) Ⅱ水平增高 ,IGF Ⅰ、IGF结合蛋白 (BP) 3、GH水平受到抑制 ,IGF Ⅱ /IGF Ⅰ异常增高 ,其中 1例间质来源的肿瘤患者术后循环GH IGF轴恢复至正常范围 ,表明循环GH IGF轴改变在NICTH的定性诊断中具有重要价值 ,IGF Ⅱ /IGF The relationship between abnormal circulating GH-insulin-like growth factor (IGF) axis and hypoglycaemia was explored in 2 cases of non-islet cell tumor associated hypoglycaemia (NICTH). Serum level of IGF-Ⅱ was increased, the levels of GH, IGF-Ⅰ, IGFBP-3 were decreased to some extent, and IGF-Ⅱ/IGF-Ⅰ (molar ratio) was significantly increased in these two cases. In one case, circulating GH-IGF axis returned to normal after complete removal of the tumor. In the diagnosis of NICTH, the abnormal circulating GH-IGF axis is quite valuable and IGF-Ⅱ/IGF-Ⅰ appears to be a more sensitive parameter.
出处 《中华内分泌代谢杂志》 CAS CSCD 北大核心 2004年第3期234-235,共2页 Chinese Journal of Endocrinology and Metabolism
基金 上海市教委重点学科建设经费资助 (2 0 0 3年 )
关键词 胰岛素样生长因子Ⅱ 非胰岛细胞肿瘤性低血糖 文献复习 循环GH—IGF轴 Insulin-like growth factor-Ⅱ Circulating GH-IGF axis Non-islet cell tumor hypoglycemia
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参考文献6

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二级参考文献27

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共引文献5

同被引文献42

  • 1姜蕾,王卫庆,张军妮,戴蒙,苏颋为,宁光.高效液相色谱电化学法测定血间甲肾上腺素类物质方法的建立及临床应用[J].中华内分泌代谢杂志,2004,20(6):561-563. 被引量:23
  • 2顾建春,郑磊贞,蔡嵘,顾文华,李杰.肺癌致顽固性低血糖一例报告[J].中国肺癌杂志,2005,8(1):58-58. 被引量:2
  • 3杨伟,曲元明,徐广明,韩韬,牟成志.在垂体腺瘤中TSP-1和TGF-β1的表达及其与微血管密度的关系[J].中华内分泌代谢杂志,2007,23(1):44-46. 被引量:6
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