【摘要】 目的 探讨慢性充血性心力衰竭(CHF)患者甲状腺激素的改变及其临床意义。 方法 用放射免疫法(RIA)检测68例(CHF)患者血清T 3 、T 4 、rT 3 、FT 3 、FT 4 及TSH的变化，并与56例正常对照组进行比较。 结果 CHF组T 3 明显低于正常组，rT 3 显著升高，且CHF组随心衰的加重，T 3 逐渐降低，rT 3 逐渐升高。 结论 甲状腺激素水平的变化可作为判断CHF严重程度的指标，并对其治疗及预后有一定指导意义。

    关键词 慢性充血性心力衰竭 甲状腺激素 心功能

    The changes and significances of thyroid hormone in senile patients with congestive heart failure

    Liao Meiyan

    Maoming People's Hospital，Maoming525000.

    【Abstract】 Objective To study the changes and significances of thyroid hormone in senile patients with con-gestive heart failure(CHF).Methods The changes of serum-level T 3 ，T 4 ，rT 3 ，FT 3 ，FT 4 and TSH in68patients with CHFwere observed，and compared with56healthy adults in common group.Results Obviously CHF group's T 3 was lower than that of the common group and rT 3 was higher than that of the common group.And CHF's T 3 gradually decreased and r T 3 increased as the heart failure became more serious.Conclusion It is showed that the alteration of serum level of thyroid hormone can identify the deterioration of CHF ......