CAJ | 학술논문

目的：研究甲状腺激素(Thyroxin, TH)对急危重症患者病情的监测价值。方法利用免疫化学发光方法监测急危重症患者TH水平。结果占位性病变、感染、休克、移植和心肌梗死患者与对照组的促甲状腺激素（Thyroid Stimulating Hormone，TSH）和三碘甲状腺原氨酸（T3）均值相比，普遍偏低P<0.05。病情越重T3越低。结论急危重症患者应激过程中会出现低T3综合征，TH可以作为急危重症患者病情的监测指标。补充甲状腺激素可能改善患者的转归。
목적：연구갑상선격소(Thyroxin, TH)대급위중증환자병정적감측개치。방법이용면역화학발광방법감측급위중증환자TH수평。결과점위성병변、감염、휴극、이식화심기경사환자여대조조적촉갑상선격소（Thyroid Stimulating Hormone，TSH）화삼전갑상선원안산（T3）균치상비，보편편저P<0.05。병정월중T3월저。결론급위중증환자응격과정중회출현저T3종합정，TH가이작위급위중증환자병정적감측지표。보충갑상선격소가능개선환자적전귀。
Objective To study the thyroid hormone (TH) as a monitoring index in patients with critical illness. Methods Adopt the immune chemiluminescence method to test TH level. Results The critical illness group reflected a lower TH level than the control group on Thyroid stimulating hormone, TSH, as well as T3 (P < 0.05). As a matter of fact, the more critical the patients’condition were, the higher their T3 were (P < 0.05). Conclusion The patients with critical condition emergency appear a low T3 syndrome when stress response. TH monitoring indicators is considered being effective in observing critical patients’condition. Supplement thyroid hormone with patients may improve outcomes.