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自发性肾上腺皮质功能亢进对犬血清甲状腺激素浓度的影响。

Effects of spontaneous hyperadrenocorticism on serum thyroid hormone concentrations in the dog.

作者信息

Peterson M E, Ferguson D C, Kintzer P P, Drucker W D

出版信息

Am J Vet Res. 1984 Oct;45(10):2034-8.

PMID:6497101
Abstract

Serum thyroid hormone concentrations were evaluated in 124 dogs with untreated spontaneous hyperadrenocorticism either by measuring basal thyroxine (T4) and triiodothyronine (T3) concentrations (102 dogs) or by assessing the T4 response to exogenous thyroid-stimulating hormone (TSH) administration (22 dogs). Reduced basal serum concentrations of T4 and of T3 were found in 58 (57%) and 53 (52%), respectively, of the 102 dogs with hyperadrenocorticism; of these, 42 dogs had low values for both T4 and T3, 16 had decreased T4 concentrations alone, and 11 had only decreased T3 concentrations. In 20 dogs that had basal serum thyroid hormone concentrations determined before and after control of hyperadrenocorticism, mean concentrations of both T4 and T3 increased significantly (P less than 0.05). Serum T4 and T3 concentrations normalized in all but 1 of the 20 dogs. In the 22 dogs with hyperadrenocorticism given TSH, mean serum concentrations of T4 at both basal and post-TSH administration times were significantly decreased (P less than 0.01) compared with the results obtained in 18 normal dogs. Nevertheless, a significant increase (P less than 0.001) in mean T4 concentration occurred in these dogs; T4 concentrations after TSH was given were at least 2-fold greater than basal values. The T4 response to exogenous TSH was less in the 13 dogs with low basal T4 concentrations than in the 9 dogs that had resting T4 values within the normal range.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对124只未经治疗的自发性肾上腺皮质功能亢进犬的血清甲状腺激素浓度进行了评估,其中102只犬通过测量基础甲状腺素(T4)和三碘甲状腺原氨酸(T3)浓度来评估,22只犬通过评估外源性促甲状腺激素(TSH)给药后的T4反应来评估。在102只肾上腺皮质功能亢进犬中,分别有58只(57%)和53只(52%)的基础血清T4和T3浓度降低;其中,42只犬的T4和T3值均较低,16只犬仅T4浓度降低,11只犬仅T3浓度降低。在20只肾上腺皮质功能亢进得到控制前后测定基础血清甲状腺激素浓度的犬中,T4和T3的平均浓度均显著升高(P<0.05)。20只犬中除1只外,血清T4和T3浓度均恢复正常。在给予TSH的22只肾上腺皮质功能亢进犬中,与18只正常犬的结果相比,基础和TSH给药后血清T4的平均浓度均显著降低(P<0.01)。然而,这些犬的平均T4浓度出现了显著升高(P<0.001);给予TSH后的T4浓度至少是基础值的2倍。基础T4浓度低的13只犬对外源性TSH的T4反应低于静息T4值在正常范围内的9只犬。(摘要截短于250字)

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