| 张宏秀 闻良珍 乔福元 王昕荣.妊娠合并甲状腺功能亢进症23 例临床分析[J].,2006,6(1):45-46 |
| 妊娠合并甲状腺功能亢进症23 例临床分析 |
| Pregnancy Combined with Hyperthyroidism: analysis of 23 cases |
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| DOI： |
| 中文关键词: 妊娠合并甲状腺功能亢进症 妊娠结局 分娩方式 |
| 英文关键词: Pregnancy- induced hypertension syndrome( PIH) Final result of pregnancy Natal pattern |
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| 中文摘要: |
| 目的: 探讨妊娠合并甲状腺功能亢进症的孕妇的妊娠结局, 对母体造成的影响, 抗甲状腺药物的使用情况及分娩方
式。方法: 对23 例甲状腺功能亢进孕妇进行了回顾性分析, 观察该病对孕妇的影响, 对母儿造成的不良结局。结果: 23 例甲状腺
功能亢进孕妇合并轻度妊娠高血压综合征的2 例, 中度4 例, 重度2 例。合并心衰6 例, 合并胎膜早破5 例, 胎盘粘连2 例, 甲状
腺危象1 例, 胎盘早剥1 例, 产后出血1 例, 前置胎盘1 例。23 例甲状腺功能亢进顺产6 例, 产钳1 例, 胎头吸引1 例, 剖宫产15
例。出现早产9 例, 其中5 例为医源性早产。胎儿宫内窘迫6 例, 死胎1 例。结论: 妊娠合并甲状腺功能亢进症常危及母婴健康,
为降低母儿风险, 孕前需很好地控制病情, 孕期密切监控, 合理治疗。 |
| 英文摘要: |
| Objective: To study the final result, administration of antithyroid drugs and natal pattern of the pregnant women with Hyperthyroidism(
HT) . Methods: The clinical data of 23 pregnant women with HT were retrospectively analysed, and the influence of HT on pregnant
women and the harmful effects of HT on maternal and neonatal health were observed. Results: Among the 23 pregnant women with HT, there
were 2 combined with mild, 4 with moderate, and 2 with severe pregnancy- induced hypertension syndrome( PIH) ; 6 combined with heart failure,
5 with premature breaking of fetal membranes, 2 with adhesion of placenta, 1 with thyroid crisis, 1 with premature separation of placenta, 1 with
postpartum bleeding, and 1 with placental presentation; 6 pregnant women of natural labor, 1 undergone instrumental extraction, 1 attraction of
fetal head, 15 hysterotokotomy; 9 of premature labor( of which, 5 were nosocomial) , 6 of fetal intrauterine embarrassment, and 1 of fetal death.
Conclusion: Pregnancy combined with hyperthyroidism often endangers maternal and neonatal health. Therefore, for reducing the risks, before
pregnancy, the patients?? conditions should be well controlled; during pregnancy, pregnant women should be closely paid more attention to and
treated reasonably. |
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