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J Clin Pathol. 1979 Apr;32(4):321-4. doi: 10.1136/jcp.32.4.321.
2
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Effect of ACTH-stimulated glucocorticoid hypersecretion on the serum concentrations of thyroxine-binding globulin, thyroxine, triiodothyronine, reverse triiodothyronine and on the TSH-response to TRH.促肾上腺皮质激素刺激引起的糖皮质激素分泌过多对血清甲状腺素结合球蛋白、甲状腺素、三碘甲状腺原氨酸、反三碘甲状腺原氨酸浓度及促甲状腺激素对促甲状腺激素释放激素反应的影响。
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本文引用的文献

1
A simple fluorimetric method for the estimation of free 11-hydroxycorticoids in human plasma.一种用于测定人血浆中游离11-羟基皮质类固醇的简易荧光法。
J Clin Pathol. 1962 Jul;15(4):374-9. doi: 10.1136/jcp.15.4.374.
2
Studies of the tissue distribution and excretion of sodium diatrizoate in laboratory animals.泛影酸钠在实验动物体内的组织分布及排泄研究。
Am J Roentgenol Radium Ther Nucl Med. 1957 Jul;78(1):137-44.
3
Radioimmunoassay of human serum thyrotrophin.人血清促甲状腺素的放射免疫测定
Br Med J. 1971 Mar 13;1(5749):582-5. doi: 10.1136/bmj.1.5749.582.
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Effect of halothane, methoxyflurane anaesthesia and surgery on plasma thyroid-stimulating hormone (TSH) levels in man.
Anaesthesia. 1972 Jan;27(1):3-8. doi: 10.1111/j.1365-2044.1972.tb08153.x.
5
Serum endogenous thyroxine levels in man during anaesthesia and surgery.麻醉和手术期间人体血清内源性甲状腺素水平
Br J Anaesth. 1969 Feb;41(2):103-8. doi: 10.1093/bja/41.2.103.
6
Effect of single dose dexamethasone on the concentration of serum triiodothyronine in man.单次剂量地塞米松对人体血清三碘甲状腺原氨酸浓度的影响。
J Clin Endocrinol Metab. 1974 Dec;39(6):1151-4. doi: 10.1210/jcem-39-6-1151.
7
Release of thyroxine from the liver during anaesthesia and surgery.麻醉和手术期间肝脏甲状腺素的释放。
Br J Anaesth. 1974 Nov;46(11):818-20. doi: 10.1093/bja/46.11.818.
8
Effect of severe, chronic illness on thyroid function.严重慢性疾病对甲状腺功能的影响。
Lancet. 1974 Oct 26;2(7887):971-4. doi: 10.1016/s0140-6736(74)92070-4.
9
The effect of surgical operation of moderate severity on thyroid function.中度严重程度的外科手术对甲状腺功能的影响。
Clin Endocrinol (Oxf). 1973 Apr;2(2):28-99. doi: 10.1111/j.1365-2265.1973.tb00409.x.
10
Increased thyroxine secretion following surgical operation.手术后甲状腺素分泌增加。
Scott Med J. 1972 Mar;17(3):92-7. doi: 10.1177/003693307201700303.

择期手术后的总甲状腺激素和游离甲状腺激素浓度。

Total and free thyroid hormone concentrations after elective surgery.

作者信息

Prescott R W, Yeo P P, Watson M J, Johnston I D, Ratcliffe J G, Evered D C

出版信息

J Clin Pathol. 1979 Apr;32(4):321-4. doi: 10.1136/jcp.32.4.321.

DOI:10.1136/jcp.32.4.321
PMID:447866
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1145667/
Abstract

Changes in thyroid hormone concentration and distribution and plasma cortisol levels have been followed in 11 patients undergoing elective cholocystectomy. A significant rise in total and free thyroxine (T4) and fall in total and free triiodothyronine (T3) were noted after surgery. Reverse T3 concentrations rose substantially, suggesting that peripheral conversion of T4 to T3 is diminished and that there is preferential formation of reverse T3. Serum thyroid stimulating hormone concentrations did not change. There was no direct correlation between the change in cortisol and the change in thyroid hormone or reverse T3 concentrations.

摘要

对11例接受择期胆囊切除术的患者，监测了甲状腺激素浓度和分布以及血浆皮质醇水平的变化。术后发现总甲状腺素（T4）和游离甲状腺素显著升高，总三碘甲状腺原氨酸（T3）和游离三碘甲状腺原氨酸降低。反式T3浓度大幅上升，提示T4向T3的外周转化减少，且反式T3优先生成。血清促甲状腺激素浓度未发生变化。皮质醇变化与甲状腺激素或反式T3浓度变化之间无直接相关性。