Verger M F, Verger C, Mercier-Hatt D, Perrone F
Presse Med. 1984 Jun 23;13(26):1613-6.
Thyroid hormone levels were measured in 12 patients on continuous ambulatory peritoneal dialysis and in 18 patients on haemodialysis, all in stable clinical status. Values in patients on peritoneal dialysis were not different from those found in controls, whereas a highly significant decrease in T3 and r T3 was observed in patients on haemodialysis. These results are in contrast with the low T3 syndrome and the high r T3 levels of systemic diseases and malnutrition. The difference between the two groups of patients on dialysis suggests that thyroid abnormalities do not result from renal failure alone, nor from malnutrition, but from a disturbance in the calorie/carbohydrate ratio of the ingesta.
对12例持续非卧床腹膜透析患者和18例血液透析患者进行了甲状腺激素水平检测，所有患者临床状态均稳定。腹膜透析患者的甲状腺激素水平与对照组无差异，而血液透析患者的T3和反T3水平则显著降低。这些结果与全身疾病和营养不良导致的低T3综合征及高反T3水平相反。两组透析患者之间的差异表明，甲状腺异常并非仅由肾衰竭或营养不良引起，而是由摄入物的热量/碳水化合物比例紊乱所致。
