Sick euthyroid syndrome - What to do when thyroid function tests are abnormal in critically ill patients

被引：26

作者：

Camacho, PM ^{[1
]}

Dwarkanathan, AA ^{[1
]}

机构：

[1] Rush Presbyterian St Lukes Med Ctr, Dept Internal Med, Endocrinol Sect, Chicago, IL 60612 USA

来源：

POSTGRADUATE MEDICINE | 1999年 / 105卷 / 04期

关键词：

D O I：

10.3810/pgm.1999.04.694

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Abnormal thyroid hormone concentrations are common in patients with serious nonthyroidal illnesses. Early evidence suggests that thyroid hormone levels may predict the prognosis for some patients. Abnormal thyroid function is usually reversible, but thyroid function tests should be repeated when the nonthyroidal illness is resolved. Whether active intervention using thyroid hormone supplements is beneficial or not remains controversial and requires future large-scale investigation.

引用

页码：215 / 219

页数：5

共 12 条

[1]

BECKER KL, 1995, PRINCIPLES PRACTICE, P1786

[2] Cardiovascular effects of intravenous triiodothyronine in patients undergoing coronary artery bypass graft surgery - A randomized, double-blind, placebo-controlled trial [J].

BennettGuerrero, E ;

Jimenez, JL ;

White, WD ;

DAmico, EB ;

Baldwin, BI ;

Schwinn, DA .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 275 (09) :687-692

[3]

BRENT GA, 1986, J CLIN ENDOCR METAB, V63, P1

[4] Reverse T-3 does not reliably differentiate hypothyroid sick syndrome from euthyroid sick syndrome [J].

Burmeister, LA .

THYROID, 1995, 5 (06) :435-441

[5] A STUDY OF THE SERUM CONCENTRATION OF TUMOR-NECROSIS-FACTOR-ALPHA IN THYROIDAL AND NONTHYROIDAL ILLNESSES [J].

CHOPRA, IJ ;

SAKANE, S ;

TECO, GNC .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1991, 72 (05) :1113-1116

[6] Clinical review 86 - Euthyroid sick syndrome: Is it a misnomer? [J].

Chopra, IJ .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1997, 82 (02) :329-334

[7] EUTHYROID SICK SYNDROME IN PULMONARY TUBERCULOSIS BEFORE AND AFTER TREATMENT [J].

CHOW, CC ;

MAK, TWL ;

CHAN, CHS ;

COCKRAM, CS .

ANNALS OF CLINICAL BIOCHEMISTRY, 1995, 32 :385-391

[8] THYROID-HORMONE TREATMENT AFTER CORONARY-ARTERY BYPASS-SURGERY [J].

KLEMPERER, JD ;

KLEIN, I ;

GOMEZ, M ;

HELM, RE ;

OJAMAA, K ;

THOMAS, SJ ;

ISOM, OW ;

KRIEGER, K .

NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (23) :1522-1527

[9] DECREASED SERUM TRIIODOTHYRONINE IS ASSOCIATED WITH INCREASED CONCENTRATIONS OF TUMOR-NECROSIS-FACTOR [J].

MOORADIAN, AD ;

REED, RL ;

OSTERWEIL, D ;

SCHIFFMAN, R ;

SCUDERI, P .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1990, 71 (05) :1239-1242

[10] HYPOTHYROXINEMIA IN CRITICALLY ILL PATIENTS AS A PREDICTOR OF HIGH MORTALITY [J].

SLAG, MF ;

MORLEY, JE ;

ELSON, MK ;

CROWSON, TW ;

NUTTALL, FQ ;

SHAFER, RB .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1981, 245 (01) :43-45

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