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外科危重患儿甲状腺功能的变化 被引量:3

Thyroid function in surgical critically illchildren
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摘要 检测63例小儿非甲状腺疾病(NTI)血清甲状腺激素及皮质醇水平。结果表明:重危组、重症感染组及大手术组T_3、T_4水平均下降,且以重危组下降明显,重危组T_3下降74.2%,感染组为64.5%;rT_3水平3组均升高;T_3/rT_3重危组低于0.5。支持T_3、rT_3、T_3/rT_3可作为判断病情、估计预后和观察疗效的指标。 We studied thvroid function and cortisol level in63 sick children without thyroid disedse.The tesultshowed that levels of triiodothyroxine(T_3)andthyroxine(T_4)were decreased in the critlcally illchildren.in children with severe infection and inchildren who had major surgery.Asignificant de-crease in T_3and T_4was seen in the group of criticallyill children with the decrease rate of T_3being 74.2%,while the decrease rate of T_3was 64.5%in the groupof infection.Reverse T_3concentrations were increasedin all three groups.T_3(rT_3)was <0.5 in the group ofcritically ill children. These findings indicated thatT_3,rT_3and T_3/rT_3could be used as indicators forrecognizing the severity and estimating the prognosisof the disease,and evaluating the therapeuticeffects.
出处 《中国危重病急救医学》 CAS CSCD 1994年第5期272-274,共3页 Chinese Critical Care Medicine
关键词 危重症 急症 甲状腺功能 儿童 critically ill children thyroid function
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