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[急性左旋多巴负荷对甲状腺疾病患者血催乳素浓度的影响]

[Effect of acute levodopa load on blood prolactin concentration in patients with thyroid diseases].

作者信息

Balabolkin M I, Livshits I B, Romanchak M N, Mokhort T V

出版信息

Probl Endokrinol (Mosk). 1983 Jul-Aug;29(4):24-7.

PMID:6889295
Abstract

In 14 thyrotoxic patients and 5 persons with endemic euthyroid goiter the blood plasma prolactin content was studied under the action of an acute oral load of levodopa in a dose of 0.5 g. It was found that the basal prolactin level was significantly higher in the blood of patients of both sexes with thyrotoxicosis and endemic euthyroid goiter than that in the control group (10 healthy humans). The blood plasma prolactin content markedly decreased in thyrotoxic patients under levodopa effect, regardless of the sex, whereas in patients with endemic euthyroid goiter the drug exhibited no considerable action on the prolactin level. A possible mechanism of hyperprolactinemia in the thyroid hyperfunction is discussed.

摘要

对14例甲状腺毒症患者和5例地方性甲状腺肿伴甲状腺功能正常者,给予0.5g左旋多巴急性口服负荷后,研究其血浆催乳素含量。结果发现,甲状腺毒症患者和地方性甲状腺肿伴甲状腺功能正常者(无论男女)血液中的基础催乳素水平均显著高于对照组(10名健康人)。在左旋多巴作用下,甲状腺毒症患者的血浆催乳素含量显著降低,与性别无关,而在地方性甲状腺肿伴甲状腺功能正常者中,该药物对催乳素水平无明显作用。本文讨论了甲状腺功能亢进时高催乳素血症的可能机制。

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