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我们对 2 0例母乳性黄疸的婴儿进行甲状腺激素的测定 ,以观察母乳性黄疸 (brestmilkjaundice ,BMJ)血清甲状腺激素的变化 ;结果发现 :BMJ患儿血清T3 下降明显 ,与对照组比较 ,两组比较差异具显著性 (t=5 .746 6 ,P <0 .0 0 1) ,而T4 ,TSH两组比较其差异均无显著性。在BMJ患儿中 ,低T3 者 18例 ,低T4 2例 ,低T3 合并T4 2例。黄疸消退后 ,T3 、T4 恢复正常。非甲状腺疾病患者可出现多种血清甲状腺激素的改变 ,如低T3 综合征、低T3 、T4 综合征、低T4 综合征及高T4 综合征 ,是机体的暂时性保护反应 ;母乳性黄疸的原因是否和低T3 有关 ,以及二者之间的因果关系尚有待于探讨。
Thyroid hormone was measured in 20 infants with breast milk jaundice in order to observe the changes of serum thyroid hormones in brestmilkjaundice (BMJ). The results showed that serum T3 decreased significantly in BMJ infants. Compared with the control group, The difference was significant (t = 5.746 6, P <0.001), while there was no significant difference between T4 and TSH. Among BMJ children, 18 patients had low T3, 2 patients had low T4, and 2 patients had low T3 and T4. Jaundice subsided, T3, T4 returned to normal. Patients with non-thyroid disease can appear a variety of serum thyroid hormone changes, such as low T3 syndrome, low T3, T4 syndrome, low T4 syndrome and high T4 syndrome, is the body’s temporary protective response; the cause of breast milk jaundice Whether it is related to low T3 or not, and the causal relationship between the two have yet to be explored.