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[库欣综合征和青少年垂体功能减退综合征患者血浆甲状腺素及促甲状腺激素含量]

[Blood plasma content of thyroxine and thyrotropic hormone in Cushing's syndrome and juvenile dyspituitarism syndrome].

作者信息

Aleksandrova G F

出版信息

Probl Endokrinol (Mosk). 1977 Jan-Feb;23(1):39-42.

PMID:846975
Abstract

The radioimmune method was applied to determination of the thyrotropic hormone (TTH) and thyroxin (T4) in the plasma of 20 patients with Itsenko-Cushing's disease and 12 patients with the syndrome of pubertal-juvenile dyspituitrism. The plasma thyroxin level proved to be lowered in the patients with Itsenko-Cushing's disease (3.1 +/- 0.9 gamma%); it was normal in the patients with the syndrome of pubertal-juvenile dyspituitrism (7.8 +/- 0.9 gamma%). The plasma TTH content gradually decreased in Itsenko-Cushing's disease with the increased duration of the malady. The TTH test demonstrated that the plasma T4 level was much less elevated in 24 hours in Itsenko-Cushing's disease than in the patients with the syndrome of pubertal-juvenile dyspituitrism (by 28 and 86% of the initial level, respectively). The differences in the functional condition of the hypothalamus-hypophysis-thyroid gland system in Itsenko-Cushing's disease and in the pubertal-juvenile dyspituitrism pointed to the different pathogenesis of these diseases.

摘要

采用放射免疫法测定了20例库欣病患者和12例青春期 - 青少年垂体功能减退综合征患者血浆中的促甲状腺激素(TTH)和甲状腺素(T4)。结果显示,库欣病患者血浆甲状腺素水平降低(3.1±0.9μg%);青春期 - 青少年垂体功能减退综合征患者血浆甲状腺素水平正常(7.8±0.9μg%)。在库欣病患者中,随着病程延长,血浆TTH含量逐渐降低。TTH试验表明,库欣病患者24小时内血浆T4水平升高幅度远低于青春期 - 青少年垂体功能减退综合征患者(分别为初始水平的28%和86%)。库欣病和青春期 - 青少年垂体功能减退综合征下丘脑 - 垂体 - 甲状腺系统功能状态的差异表明这两种疾病的发病机制不同。

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