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甲状腺功能障碍时周围神经功能的可逆性改变(作者译)

[Reversible alterations of peripheral nerve function in thyroid dysfunction (author's transl)].

作者信息

Schütt P, Muche H, Gallenkamp U, Lehmann H J

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1979 Jun;10(2):101-5.

PMID:225155
Abstract

In 7 patients with hyperthyroidism and 9 patients with hypothyroidism both thve before treatment and after a period of normal thyroid function of at least one year duration. As far as conduction velocity and relative refractory period are concerned there was no difference between hyperthyroid patients and normal persons, whereas in cases of hypothyroidism before treatment the conduction velocity was shown to be significantly reduced; moreover a prolonged relative refractory period and a decline in amplitude of the nerve action potential were found. These alterations of peripheral nerve function, interpreted as evidence of neuropathy, proved to be reversible when the thyroid function returned to normal.

摘要

对7例甲状腺功能亢进患者和9例甲状腺功能减退患者在治疗前以及甲状腺功能正常至少一年后进行了检查。就传导速度和相对不应期而言,甲状腺功能亢进患者与正常人之间没有差异,而在治疗前的甲状腺功能减退病例中,传导速度显著降低;此外,还发现相对不应期延长和神经动作电位幅度下降。这些周围神经功能的改变被解释为神经病变的证据,当甲状腺功能恢复正常时,这些改变被证明是可逆的。

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