感染性休克患者血清甲状腺素和APACHEⅡ评分的关系

余追1 周青山1 邹捍东1 严娟娟1 陈伟1
武汉大学人民医院重症医学科

Objective  To evaluate the correlation between serum free T3, T4 and APACHEscores in patients win septic shock in a general ICU. Methods  12 cases of  septic shock  were included and studied. These data were evaluated wthan those of 113 survivors Serum FT3, FT4 and TSH were examed by radio-immunology. APACHE scores were got by the soft APACHE version 1.0.  Results  In septic shock patients serum FT3 and FT4 decreased compared with those before diagnosis of septic shock(P0.01).. But TSH did not changed. There is a negative correlation between FT3, FT4 and APACHE scores(P0.01). Conclusion  FT3 and FT4 decreased in septic shock.  The changes reflect seriousness of patients’ condition and predict prognosis.