老年重症下呼吸道感染患者的正常甲状腺功能病态综合征  

Euthyroid Sick Syndrome in the Patients with Severe Lower Respiratory Tract Infection

作　　者：孙彩霞[1] 张颖[1] 李图苓[1] 

机构地区：[1]合肥市第一人民医院,安徽合肥230061

出　　处：《安徽预防医学杂志》2004年第6期359-360,共2页Anhui Journal of Preventive Medicine

摘　　要：目的　探讨老年重症下呼吸道感染患者甲状腺激素水平的改变及与病情和预后的关系 ,为诊治此类疾病提供依据。方法　用放射免疫法测定 30例老年重症下呼吸道感染患者 (感染组 )及对照组血浆三碘甲状腺原氨酸 (T3 )、甲状腺素 (T4)及促甲状腺素 (TSF)水平。结果　与对照组比较老年重症下呼吸道感染组T3 、T4均明显降低 ,TSH两组无差异。感染组中死亡 13例 ,其T3 、T4水平明显低于该组中存活者。结论　老年重症下呼吸道感染患者中存在正常甲状腺功能病态综合征 ,低T3 、T4综合症可作为预后不良的指标。Objective To investigate the relationship between thyroid hormones level and state of an illness and prognosis in the old age patients with severe lower respiratory tract infection (LRTI). Methods T 3, T 4, TSH levels of old age patients with LRTI and subjects in control group were detected with radioimmunity (RI) respectively. Results T 3, T 4 level were significantly lower in LRTI group than those in control. TSH levels were no difference between two groups .T 3, T 4 levels were significantly lower in 13 death cases than those in the cases alive. Conclusion There were euthyroid sick syndromes(ESS) in the old age patients with severe lower respiratory tract infection(LRTI). Low T 3, T 4 syndrome could serve as bad prognosis index for the patient with LRTI

关 键 词：老年 下呼吸道感染 甲状腺病态综合征 

分 类 号：R563[医药卫生—呼吸系统] R335.2[医药卫生—内科学]