首页|1例血清T3、FT3值异常增高病例分析

1例血清T3、FT3值异常增高病例分析

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1例行常规体检患者三碘甲状腺原氨酸(T3)、游离三碘甲状腺原氨酸(FT3)异常增高,48h后再次采集患者空腹静脉血发现T3、FT3检测值回落,通过重复测定,不同实验室的仪器设备进行比对,排除检测错误.经讨论,该病例可能为轻型不典型亚急性甲状腺炎,但T3、FT3结果异常增高,T4、FT4、TSH、ATG、A-TPO正常,短时间再次采集静脉血检测T3、FT3值大部分回落,在临床极为少见,可提示临床持续观察检测,避免过度治疗.此外,需注意药物及内源性因素对检测结果产生的影响,避免误诊.
The Analysis of a Case with Abnormally Increase of Serum T3 and FT3 Values
A routine health examination patient showed abnormal increases in triiodothyronine (T3 ) and free triiodothyronine (FT3 )levels.After 48 hours,fasting venous blood was collected again from the patient and T3 and FT3 detection values decreased.Through repeated measurements and comparison of equipment from different laboratories,testing errors were ruled out as the leading cause.Based on discussion,the case may be mild atypical subacute thyroiditis,but the T3 and FT3 results were abnormally high,and T4 ,FT4 ,TSH,ATG,A-TPO were normal.It is an extremely rare case in which collecting venous blood again in a short period of time to detect T3 and FT3 values, indicating continuous clinical observation and testing to avoid overtreatment.In addition,attention should be paid to the impact of drugs and endogenous factors on the test results to avoid the misdiagnosis.

T3FT3Subacute thyroiditisAcute upper respiratory tract infection

明翠玲、冯杰、高静、高艳红

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解放军总医院第一医学中心检验科,北京 100853

云南芒市人民医院检验科,云南 芒市 678400

T3 FT3 亚急性甲状腺炎 急性上呼吸道感染

国家重点研发计划

2017YFF0205401

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(1)
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