关键COVID-19患者中的甲状腺功能障碍
Hande Özportakal1, Şirin Menekşe2, Ece Altınay3
1Department of Internal Medicine, Kartal Koşuyolu High Specialization Education and Research Hospital, İstanbul, Turkey.
Infectious diseases & clinical microbiology
|April 18, 2024
概括
进入ICU的危急COVID-19患者经常出现甲状腺功能障碍 (TD). 在这些重症患者中,TD与较高的炎症标志物,心脏类素T水平和APACHE-II评分有关.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- SARS-CoV-2利用血管酶转化酶 (ACE) 作为其功能受体,主要影响肺部.
- ACE也在甲状腺中表达,这表明COVID-19和甲状腺功能之间存在潜在的联系.
研究的目的:
- 为了调查进入ICU的重症COVID-19患者甲状腺功能障碍 (TD) 的发生率.
- 将TD发病率与炎症标志物和疾病严重程度进行比较.
主要方法:
- 对52名患有严重COVID-19的ICU患者进行了回顾性研究.
- 甲状腺功能测试 (TSH,FT4,FT3) 在ICU入院后3天内进行.
- 由异常TSH,FT4或FT3水平定义的TD;没有先前的甲状腺病史.
主要成果:
- 甲状腺功能障碍 (TD) 在65.4%的患者中检测到.
- TD患者的TSH,FT3和FT4水平下降.
- TD与较高的APACHE-II分数,白细胞计数,前素,C反应蛋白和心脏素T相关.
结论:
- 危急的COVID-19患者患有TD的风险增加.
- 这些患者的甲状腺功能障碍与炎症标志物和疾病严重程度得分相关.
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