Tegler L, Gillquist J, Anderberg B, Jacobson G, Lundström B, Roos P
Acta Endocrinol (Copenh). 1981 Dec;98(4):540-8. doi: 10.1530/acta.0.0980540.
Human thyroid blood flow (TBF) was studied with electromagnetic flowmetry during operation. Measurements were made of the effect on TBF of injections of bovine TSH into one inferior thyroid artery in 6 patients; 6 other patients were given human TSH, and in 10 patients measurements were made both of TBF and endogenous TSH released after administration of TRH in a peripheral vein. The TBF increased after all three types of injection. The mean of the TBF maxima after bovine TSH was 2.26 +/- 0.35 (mean +/- SEM) relative to basal TBF, after human TSH 1.97 +/- 0.28, and after TRH 1.64 +/- 0.20. In the three groups combined it was 1.92 +/- 0.16. The TBF was often increased already during the first recording period 1-10 min after TSH or TRH administration. The mean TBF was approximately doubled at 30-50 min. There were considerable inter-individual variations in the latent time and maximum response of TBF, especially after human TSH, but we found no correlation between the response and the TSH serum concentration in any group. A prompt, but inter-individually varying, increase in TBF was confirmed. This increase is suggested to be secondary to an increased intrafollicular metabolic activity and not primarily regulating thyroid function.
在手术过程中,采用电磁血流测定法对人体甲状腺血流(TBF)进行了研究。对6例患者,向一侧甲状腺下动脉注射牛促甲状腺激素(TSH),测定其对TBF的影响;另外6例患者注射人TSH;对10例患者,在周围静脉注射促甲状腺激素释放激素(TRH)后,同时测定TBF和内源性TSH。三种注射后TBF均增加。注射牛TSH后TBF最大值的均值相对于基础TBF为2.26±0.35(均值±标准误),注射人TSH后为1.97±0.28,注射TRH后为1.64±0.20。三组合并后为1.92±0.16。在注射TSH或TRH后的第一个记录期1 - 10分钟内,TBF通常就已增加。在30 - 50分钟时,平均TBF约增加一倍。TBF的潜伏时间和最大反应存在相当大的个体间差异,尤其是注射人TSH后,但我们发现在任何一组中反应与血清TSH浓度之间均无相关性。证实了TBF迅速增加,但个体间存在差异。这种增加被认为是滤泡内代谢活动增加的继发结果,而非主要调节甲状腺功能。