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甲状腺毒症药物治疗后临床缓解患者的甲状腺功能

Thyroid function in patients in clinical remission after medical treatment of thyrotoxicosis.

作者信息

Hooper M J, Ratcliffe J G, Ratcliffe W A, Spencer C A, McLarty D G, Alexander W D

出版信息

J Clin Endocrinol Metab. 1975 May;40(5):807-11. doi: 10.1210/jcem-40-5-807.

Abstract

This paper described the changes in the levels of serum triiodothyronine, serum thyroxine,serum thyrotrophin and other indices of thyroid function between 2-5 y after completion of antithyroid drug therapy in 35 patients who were euthyroid on clinical criteria. There was a small but significant elevation of the mean triiodothyronine and thyroxine levels with a relative hypersecretion of Triiodothyronine. No correlation was found between the levels of either thyroid hormone measured or their ratio and the radioiodine uptakes and clearance rate, the plasma inorganic iodine level, the absolute iodine uptake or the serum TSH level. There was no case of clinical hypothyroidism but in one patient the TSH level was at the upper limit of the nrmal range and an exaggerated TSH response to TRH was found.

摘要

本文描述了35例临床甲状腺功能正常的患者在抗甲状腺药物治疗结束后2至5年期间血清三碘甲状腺原氨酸、血清甲状腺素、血清促甲状腺素水平及其他甲状腺功能指标的变化。平均三碘甲状腺原氨酸和甲状腺素水平有小幅但显著的升高,伴有三碘甲状腺原氨酸相对分泌过多。所测甲状腺激素水平及其比值与放射性碘摄取和清除率、血浆无机碘水平、绝对碘摄取或血清促甲状腺素水平之间均未发现相关性。无临床甲状腺功能减退病例,但有1例患者促甲状腺素水平处于正常范围上限,且发现其对促甲状腺激素释放激素(TRH)的反应增强。

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