甲状腺功能亢进患者心钠素、电解质的观察
Alterations of atrial natriuretic peptide and electrolytes in hyperthyroidism
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摘要: 本文报告30例甲亢患者血浆心钠素和血清Na、K、Cl的测定结果。血浆心钠素显著高于正常对照组,血Na显著高于正常对照组,血K显著低于正常对照组,血Cl与正常对照组无显著差异。其中15例于抗甲状腺药物治疗4—5周后,血浆心钠素和血Na显著下降,血K显著上升。血清T3与血浆心钠素、血浆心钠素与24-h尿量呈正相关。本文对甲亢患者血浆心钠素、电解质变化的机理、相互关系及其意义进行了讨论。Abstract: The paper dealed with the results of measurments of atrial natriuretic peptide(ANP)in plasma and Na K Cl in serum and urine in 30 patients with hyperthyroidism.The levels of plasma ANP and serum Na in the patients were significantly higher than those in controls.The levels of in serum Cl between the two groups.The levels of plasma ANP and serum Na in 15 patients after 4—5 weeks of antithyroid drug treatment significantly declined and the levels of serum K significantly rose as compaired with those before the treatment.There was a positive correlation between the levels of serum T3 and plasma ANP or between plasma ANP levels and 24-h urine volums.Mechanism,relationship and significance of alterations of ANP and electrolytes in hyperthyroid patients were discussed.
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