消化性溃疡伴出血病人血清中甲状腺激素的变化及意义

摘要

目的：测定消化性溃疡伴上消化道出血病人血清中甲状腺激素水平，探讨其与出血程度、疗效观察及病情转归的关系。方法：109例患者采用放射免疫测定法。结果：发现在轻度出血组病人血清中甲状腺激素水平和正常人群组比较无明显变化，而在中、重度出血组病人血清中甲状腺激素T3、T4均降低，rT3升高，且出血量越大T3下降越明显。经内科积极保守治疗出血停止病情好转后病人血清中甲状腺激素水平恢复正常。结论：测定消化性溃疡伴上消化道出血病人血清中甲状腺激素水平，对判定其出血程度、疗效观察及病情转归都具有重要的临床意义。%Objective：To investigate relation of plasma level of Thyroxine to degree hemorrhage， curative effect and prognosis in digestive ulcer．Method：Plasma level of thyroxine of 109 patients with digestive ulcer accompanied by hemorrhage were detected by RIA．Results：Significantly， the capacity of hemorrhage was positively related to plasma level of T3 and T4，actively to rT3．After conservative treatment，Plasma level of thyroxine shown normal in patients without hemorrhage．Couclusion：To detect plasma level of thyroxine is of great value to patient with digestive ulcer，So far as degree of hemorrhage，curative effect and prognosis are concerned．