摘要
对40例急性重型颅脑损伤病人的甲状腺功能和皮质醇作了动态观察。结果提示:(1)颅脑损伤越重,血清甲状腺激素?皮质醇变化愈明显;(2)重型颅脑损伤患者血清3,5,3-三碘甲状原氨酸(T_3)持续下降,3,3.5?L三碘甲状原氨酸(rT_3)和皮质醇持续上升,其预后不良;(3)CT 中线移位和血肿量与 T_3呈负相关关系,与 rT_3和皮质醇呈正相关关系。
Dynamical thyroid function and cortisol in 40potients with acute severe head injury were studiedfrom March 1989 to March in 1990. Serum thyroidhormone and cortisol were varied in the patientswith different degree of coma. Although thepatients Glasgow coma score (GCS) 3-5 and 6-8,their serum TT_3 was lower than normal level.rT_3 and cortisol was higher than normal. serumT_4 was low in the normal. but serum TT_3 wasmarkedly reduced. rT_3 and cortisol were more rised inpatients with GCS 3-5 group. the death rate alsohigher in this group. It may be some useful inprognosis of those patients.
出处
《中华神经外科杂志》
CSCD
北大核心
1992年第2期83-86,共4页
Chinese Journal of Neurosurgery
