磁性放射免疫分析二步法测定血清FT_3和FT_4的浓度

  • 摘要: 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。

     

    Abstract: CLINICAL SIGNIFICANCE OF TWO-STEP MAGNETIC RADIOIMMUNOASSAY FOR DETERMINING SERUM FREE T_3 AND FREE T_4Chen Bing(Isotope Department of maanshan Iron & Steel Complex, Anhui 243000)Abstract:The concentrations of the serum free T3 (FT3), free T4(FT4), total triodothgronine(TT3), totalthyroxine (TT4) and thyrotropin (TSH) are determined for 355 cases of normal persons, pregnantwomen and various thyropathetic patients. The normal values of FT3 and FT4 are 2. 0-8. 5 pmol/l,and 9. 5-26. 5 pmol/l, respectively. Neither FT3 nor FT4 is affected by the thyroxine combined withglobulin (TBG), which is of unique diagnostic value for those with variable TBG(such as pregnantwomen hyperthyroidism, hypothyroidism, etc. ), FT3 and FT4 are the most sensitive indices for diagnosts of hyperthyroidism, and hypothyroidism, respectively. In addition, FT3 and FT4 can greatly contribute to the observation of curative effectiveness under treatment.Keywords: magnetic separation two-step radioimmunoassay; FT3 FT4 thyropathy

     

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