解读甲亢化验单（Interpretation of hyperthyroidism test sheet）.doc

解读甲亢化验单（Interpretation of hyperthyroidism test sheet） Interpretation of hyperthyroidism test sheet Doctors words The thyroid function examination mainly includes the following items: Thyroid hormone Thyroxine is an important hormone secreted by the thyroid gland. It plays an important role in promoting the metabolism of nutrition, physical growth, brain development, and improving the functions of the nerves and the cardiovascular system. Thyroxine measurement included five items: serum total T3 (TT3), total T4 (TT4), free T3 (FT3), free T4 (FT4) and anti T3. The above indexes directly reflect the functional status of the thyroid gland, increase, indicate hyperfunction, decrease, indicate hypofunction. As the country has not yet had a normal thyroid function, the patient can evaluate the thyroid function by referring to the reference value on the test sheet. The total T3 and T4 increased in pregnancy, oral contraceptives, in an androgen and prednisone therapy, nephrotic syndrome, liver failure, phenytoin and other drugs can be reduced, therefore cannot only rely on the level of the two indexes of the diagnosis of hyperthyroidism. Free T3 and free T4 are not affected by these factors, and they are the most accurate indicators for the diagnosis of hyperthyroidism and hypothyroidism. At present, most hospitals will total T3, total T4, free T3, free T4 examination, to differential diagnosis of some rare disease. If the total T3 and T4 are in conflict with the free T3 and T4, the free T3 and the free T4 should be taken as the standard. Free T3 increased earlier in the early stage of hyperthyroidism or hyperthyroidism, and was more important for the early diagnosis of hyperthyroidism. Free T4 increased later than free T3, but decreased first in hypothyroidism, so early diagnosis of hypothyroidism was better than free T3. More than 95% of the anti T3 (rT3) from the total T4 metabolism in the surrounding tissue when the formation of iodine, hyperthyroidism with the total T3