Barwich D
Med Klin. 1975 Oct 31;70(44):1780-3.
In 32 cases of acromegaly growth hormone analyses in serum were carried out by means of intra venous dosing of glucose (hyperglycemia suppression test). Both in individual cases and collectively the growth hormone concentrations fluctuate considerably. 19 patients had average concentrations of 10 to 30, 5 of 30 to 70, 4 of more than 100 and 3 patients of 5 to 10 ng/ml. The level of the pathological growth hormone concentrations doesn't correlate with the presumable duration of the affection, the glucose tolerance and the extension of the acromegalic alterations. 5 patients showed an euthyroid recidiv goiter, 4 patients a hypothyroid goiter, 2 of these patients at the same time showed a secondary hypoadrenalism and 3 patients an autonomous thyroid adenoma. The eosinophilic hypophysis tumors were mostly intrasellar. 4 patients out of 5 with suprasellar tumor distension showed an optic chiasm syndrome.
对32例肢端肥大症患者进行了静脉注射葡萄糖(高血糖抑制试验)血清生长激素分析。无论是个别病例还是总体情况,生长激素浓度波动都很大。19例患者的平均浓度为10至30 ng/ml,5例为30至70 ng/ml,4例超过100 ng/ml,3例为5至10 ng/ml。病理性生长激素浓度水平与推测的患病持续时间、葡萄糖耐量及肢端肥大症改变的范围无关。5例患者表现为甲状腺功能正常的复发性甲状腺肿,4例为甲状腺功能减退性甲状腺肿,其中2例同时表现为继发性肾上腺皮质功能减退,3例为自主性甲状腺腺瘤。嗜酸性垂体瘤大多位于鞍内。5例有鞍上肿瘤扩张的患者中,4例出现视交叉综合征。