妊娠中の心臓タンポネードによって合併するグラブス病:症例報告と文献のレビュー
Haley S Jerman1,2, Rachel L Rodel1,3
1Sanford Maternal-Fetal Medicine, Sanford USD Medical Center, Sioux Falls, South Dakota.
まとめ
このケーススタディは 希少な妊娠中のグレイブズ病の例で 発症したタイロトキシコシスと心臓タンポネードを 詳細に説明します 乳腺切開や乳房切開などの 迅速な介入は 母親と胎児の健康に 極めて重要でした
科学分野:
- 内分泌学
- 心臓病科
- 産婦人科
背景:
- 甲状腺毒性症とその合併症は,特に妊娠中に診断と治療の課題を提示します.
- グレイブズ病は心周炎の稀な原因で,甲状腺機能過剰症では心臓タンポネードがまれに報告されています.
研究 の 目的:
- 妊娠中に発症した 希少なGraves病で 発症した 発症した 発症した 発症した
- 妊娠中の甲状腺機能過剰症の治療が不十分である場合に 早期の手術の重要性を強調する.
主な方法:
- 妊娠中の23歳の グレイス病の症例報告です
- 治療には,エマージェント・ペリカルディオセンテシスとインターバル・チロイド摘出術が含まれていた.
- 甲状腺機能低下,心臓タンポネード,妊娠に関する既存の文献のレビュー.
主要な成果:
- 患者は再発性チロトキシコシスを経験し,第2 trimesterで心臓タンポネードを発症しました.
- エマージント・ペリカルディオセントーシスと,その後の甲状腺切除術が行われました.
- 妊婦と胎児の健康に 優先順位を付けました
結論:
- 妊娠中のグレイブス病に関連した心臓タンポネードは非常にまれです.
- 薬剤は妊娠中の甲状腺症の主要な治療法ですが,母親と胎児の利益がリスクを上回るとすぐに外科治療を検討する必要があります.
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