中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2014年
5期
474-476
,共3页
王春喜%魏志成%陈贵进%张楠
王春喜%魏誌成%陳貴進%張楠
왕춘희%위지성%진귀진%장남
肠系膜上动脉栓塞%取栓术%甲状腺激素
腸繫膜上動脈栓塞%取栓術%甲狀腺激素
장계막상동맥전새%취전술%갑상선격소
Superior mensenteric artery thrombosis%embolectomy%thyroid hormone
目的:探讨急性肠系膜上动脉栓塞患者血清甲状腺素水平及治疗后的变化规律。方法:选择42例急性肠系膜上动脉栓塞患者,于治疗前和治疗后1、3、7、14、30 d抽取空腹静脉血,利用放射免疫测定方法检测血清FT3、FT4、T3、T4、TSH水平;选择同龄同性别健康查体人员作为对照组。结果:治疗组血清FT3、FT4、T3、T4均明显低于正常对照组,且以肠坏死组最明显(P<0.05);治疗后血清甲状腺素降低,30 d后接近正常水平。结论:急性肠系膜上动脉栓塞患者存在低甲状腺素血症,且以肠坏死患者最明显,治疗后随病情逐渐恢复。
目的:探討急性腸繫膜上動脈栓塞患者血清甲狀腺素水平及治療後的變化規律。方法:選擇42例急性腸繫膜上動脈栓塞患者,于治療前和治療後1、3、7、14、30 d抽取空腹靜脈血,利用放射免疫測定方法檢測血清FT3、FT4、T3、T4、TSH水平;選擇同齡同性彆健康查體人員作為對照組。結果:治療組血清FT3、FT4、T3、T4均明顯低于正常對照組,且以腸壞死組最明顯(P<0.05);治療後血清甲狀腺素降低,30 d後接近正常水平。結論:急性腸繫膜上動脈栓塞患者存在低甲狀腺素血癥,且以腸壞死患者最明顯,治療後隨病情逐漸恢複。
목적:탐토급성장계막상동맥전새환자혈청갑상선소수평급치료후적변화규률。방법:선택42례급성장계막상동맥전새환자,우치료전화치료후1、3、7、14、30 d추취공복정맥혈,이용방사면역측정방법검측혈청FT3、FT4、T3、T4、TSH수평;선택동령동성별건강사체인원작위대조조。결과:치료조혈청FT3、FT4、T3、T4균명현저우정상대조조,차이장배사조최명현(P<0.05);치료후혈청갑상선소강저,30 d후접근정상수평。결론:급성장계막상동맥전새환자존재저갑상선소혈증,차이장배사환자최명현,치료후수병정축점회복。
Objective To investigate the alternative regularity of perioperational serum thyroid hormone in patients with acute superior mensenteric thrombosis. Methods Forty-two patients and 42 control ones were selected and their serum thyroid hormone was examined. The serum levels of thyroid hormones (including FT3, FT4, T3, T4 and TSH) were determined by radioimmunoassay perioperationally ( just before embolectomy, the days of the first, third, 7th and 14th post operation) in all the 42 patients. Results Lower levels of thyroid hor-mone were found in the 42 patients with acute superior mensenteric thrombosis, especially in the severe ones;meanwhile lower levels of thyroid hormone of 42 operated patients were deduced further on the first day and the third day post-operation, returned gradually to the primary levels on the 14th day, and the levels returned gradu-ally to normal on the 30th day. Conclusion Patients with acute superior mesenteric thrombosis have lower levels of thyroid hormone especially in severe ones, which are aggravated post-operationally and which will be corrected on the post-operational 14th day.