각종 갑상선질환에서 혈청 갑상선홀몬치의 진단적 의의

Diagnostic Significance of the Serum Thyroid Hormone Indicies in Various Thyroid Diseases

  • 한봉헌 (충남대학교 의과대학 내과학교실) ;
  • 고석만 (충남대학교 의과대학 내과학교실) ;
  • 윤상룡 (충남대학교 의과대학 내과학교실) ;
  • 노흥규 (충남대학교 의과대학 내과학교실)
  • Han, Bong-Heon (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Ko, Suk-Man (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Yoon, Sang-Ryong (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Ro, Heung-Kyu (Department of Internal Medicine, College of Medicine, Chungnam National University)
  • 발행 : 1980.12.30

초록

In an attempt to evaluate the diagnostic significance of the serum thyroid hormones in various thyroid function states, the author measured serum $T_3$ uptake, serum $T_3$, serum $T_4$, serum free $T_4$ and free $T_3$ index in 27 cases of normal subjects, 11 cases of hypothyroidism, 152 cases of euthyroidism and 81 cases of hyperthyroidism by the radioimmunoassay method. The results were as follows: 1. The ranges of serum thyroid hormones in normal subjects were, serum $T_3$ uptake; $27.4{\sim}42.1%$, serum $T_3;\;93{\sim}245ng/dl$, serum $T_4;\;4.08{\sim}12.9ug/dl$ and serum free $T_4;\;0.57{\sim}1.53ng/dl(M{\pm}2S.D.)$. 2. Free $T_4$ index and serum $T_4$ show relatively high diagnostic value in euthyroidism group, and serum $T_3\;and\;T_4$ in hypothyroidism group, while serum $T_3$, free $T_4\;and\;T_4$ show relatively high diagnostic value in hyperthyroidism group. 3. There were significant correlation between free $T_4$ index and serum $T_4$(r=0.68), and between free $T_4$ index and serum free $T_4$(r=0.67) in hyperthyroidism group.

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