甲状腺功能在ALI／ARDS患者肺泡液体清除中作用的临床观察  

Clinical study on the role of thyroid function in alveolar fluid clearance of patients with ALI / ARDS AI

作　　者：艾山木[1] 蒋东坡[1] 董连喜 王耀丽[1] 

机构地区：[1]第三军医大学大坪医院重症医学科,重庆市400042 [2]四川省乐山市犍为县77160部队卫生队,乐山市614400

出　　处：《老年医学与保健》2010年第3期155-156,170,共3页Geriatrics & Health Care

基　　金：基金项目：中国博士后科学基金（编号：20070420596）

摘　　要：目的观察甲状腺功能在ALI／ARDS患者肺泡液体清除中的作用及其对患者预后的影响。方法分别测定8例ALFARDS、8例冠心病患者及8例正常对照健康成人血清中T3、FT3、T4、FT4、TSH水平和相对应的血气分析指标。结果ALI／ARDS与冠心病患者血中甲状腺素水平明显降低，而前者降低更加明显。结论重症患者血清T3、T4水平明显下降，且与Au和／或ARDS疾病肺泡液体清除的严重程度可能成负相关。Objective To observe the effects of thyroid function in the alveolar fluid clearance of the patients with ALI/ ARDS. Methods 24 patients were divided into three groups： Normal group, ALl/ARDS group and coronary heart group （8 cases each group）. Levels of thyroid function （serum T3, FT3, T4, FT4, TSH） and blood gas analysis were evaluated in all cases. Results Levels of thyroid hormone were significantly lower in patients with ALI/ARDS and coronary heart disease, as compared with those in normal group （P〈 0.05）. Conclusions Levels of T3, T4 were significantly decreased in the serum of the severe patients, and there were negative correlation between alveolar fluid clearance and levels of T3, T4 in patients with ALl / ARDS.

关 键 词：急性肺损伤 急性呼吸窘迫综合征 甲状腺激素 肺泡液体清除 

分 类 号：R56[医药卫生—呼吸系统]