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测定355例不同生理状态(正常人,孕妇)下和各种甲状腺疾病患者血清中FT3、FT4、总T3(TT3)、总T4(TT4)和促甲状腺激素(TSH)的浓度。FT3、FT4的正常值分别为2.0—8.5pmol/l和9.5—26.5pmol/l。FT3、FT4不受甲状腺素结合球蛋白(TBC)变化的影响,对孕妇、甲亢、甲减等TBG变化的患者有独特的诊断价值。FT3是诊断甲亢、FT4是诊断甲减最灵敏的一项指标,对早期诊断有意义。FT3或FT4对甲亢或甲减在治疗中的疗效观察有重要的指导作用。
The concentrations of FT3, FT4, total T3 (TT3), total T4 (TT4) and thyrotropin (TSH) in serum of 355 patients with various thyroid diseases (normal and pregnant women) and thyroid diseases were measured. The normal values for FT3 and FT4 were 2.0-8.5 pmol / l and 9.5-26.5 pmol / l, respectively. FT3 and FT4 are not affected by the changes of thyroxine binding globulin (TBC), and have unique diagnostic value for patients with TBG changes such as pregnant women, hyperthyroidism and hypothyroidism. FT3 is the diagnosis of hyperthyroidism, FT4 is the most sensitive diagnostic hypothyroidism an indicator of early diagnosis of significance. FT3 or FT4 on hyperthyroidism or hypothyroidism in the treatment of curative effect observation has important guiding role.