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[肾病综合征患儿血清中三碘甲状腺原氨酸、甲状腺素、促甲状腺激素及甲状腺素结合球蛋白浓度的变化]

[Behavior of the concentration of triiodothyronine, thyroxine, thyrotropin and thyroxine-binding globulin in the serum of children with nephrotic syndrome].

作者信息

Liappis N, Rao G S

出版信息

Klin Padiatr. 1985 Jan-Feb;197(1):35-9. doi: 10.1055/s-2008-1033923.

Abstract

Concentrations of triiodothyronine, thyroxine, thyrotropin, thyroxine-binding globulin, urea, creatinine, cholesterol and total protein were determined in serum of six children (ages from 4 to 16 years) with nephrotic syndrome undergoing therapy. The results showed that with decreasing concentration of serum protein and increasing concentration of cholesterol the concentrations of thyroxine and thyroxine-binding globulin decreased whereas the concentration of thyrotropin was elevated. Improvement in the concentration of serum protein lead to an improvement of serum levels of thyroid hormones and thyroxine-binding globulin; concentrations of thyrotropin and cholesterol returned to values close to normal. Although triiodothyronine was decreased slightly it remained in the normal range thus preventing overt hypothyroidism.

摘要

对六名正在接受治疗的肾病综合征患儿(年龄4至16岁)的血清进行了三碘甲状腺原氨酸、甲状腺素、促甲状腺激素、甲状腺素结合球蛋白、尿素、肌酐、胆固醇和总蛋白浓度的测定。结果显示,随着血清蛋白浓度降低和胆固醇浓度升高,甲状腺素和甲状腺素结合球蛋白浓度降低,而促甲状腺激素浓度升高。血清蛋白浓度的改善导致甲状腺激素和甲状腺素结合球蛋白的血清水平得到改善;促甲状腺激素和胆固醇浓度恢复到接近正常的值。虽然三碘甲状腺原氨酸略有下降,但仍在正常范围内,从而预防了明显的甲状腺功能减退。

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