甲状腺激素的变化对急危重症转归的意义  

The guiding significance of the thyroid hormone （TH） to critical illness

作　　者：王秀梅[1] 宋丽洁[1] 张丽萍[1] 郝钦芳[1] 张金红[1] 

机构地区：[1]中国人民武装警察部队总医院检验科,北京100039

出　　处：《中国急救复苏与灾害医学杂志》2013年第12期1104-1106,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的研究甲状腺激素（Thyroxin，TH）对急危重症患者病情的监测价值。方法利用免疫化学发光方法监测急危重症患者TH水平。结果占位性病变、感染、休克、移植和心肌梗死患者与对照组的促甲状腺激素（Thyroid Stimulating Hormone，TSH）和三碘甲状腺原氨酸（T3）均值相比，普遍偏低P〈0．05。病情越重T3越低。结论急危重症患者应激过程中会出现低T3综合征，TH可以作为急危重症患者病情的监测指标。补充甲状腺激素可能改善患者的转归。Objective To study the thyroid hormone （TH） as a monitoring index in patients with critical illness. Methods Adopt the immune chemiluminescence method to test TH level. Results The critical illness group reflected a lower TH level than the control group on Thyroid stimulating hormone, TSH, as well as T3 （P 〈 0.05）. As a matter of fact, the more critical the patients＇ condition were, the higher their T3 were （P 〈 0.05）. Conclusion The patients with critical condition emergency appear a low T3 syndrome when stress response. TH monitoring indicators is considered being effective in observing critical patients＇ condition. Supplement thyroid hormone with patients may improve outcomes.

关 键 词：甲状腺激素 急危重症 

分 类 号：R459.7[医药卫生—急诊医学]