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Updated: Jul 12, 2025

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孕期过渡性甲状腺毒性症因甲状腺风暴而复杂化,患者患有妊娠激增症
Camila A Villavicencio1, Alberto Franco-Akel2, Regina Belokovskaya2
1Department of Medicine, NYC Health and Hospitals Metropolitan / New York Medical College, New York, NY 10029, USA.
JCEM case reports
|November 1, 2023
概括
在双胞胎怀孕中,妊娠过渡性甲状腺毒性 (GTT) 超重孕症很少导致甲状腺风暴和胎儿死亡. 在高风险怀孕中,可以考虑使用抗甲状腺药.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 孕期过渡性甲状腺毒性病 (GTT) 是常见的超重症 (HG),通常在没有不良后果的情况下解决.
- GTT与人类胆管性腺激素 (hCG) 水平升高有关,特别是在多胎妊娠中.
- 抗甲状腺药物 (ATD) 不经常推用于GTT管理.
研究的目的:
- 报告一种罕见的甲状腺风暴和子宫内胎儿死亡复杂的GTT病例.
- 讨论ATD在高风险怀孕中的GTT管理中的潜在作用.
主要方法:
- 一个双胞胎怀孕的案例报告,其中存在hyperemesis gravidarum和GTT.
- 怀孕的临床表现,管理和结果被记录下来.
主要成果:
- 患者出现了甲状腺风暴,导致子宫内胎儿死亡.
- 这一案例突出了高风险怀孕中GTT罕见但严重的并发症.
结论:
- GTT,特别是在HG和双胞胎怀孕的背景下,存在甲状腺风暴和不良胎儿结果的风险.
- 在具有显著升高hCG水平的怀孕中,可能需要考虑GTT的ATD,例如在HG和多胎妊娠中看到的hCG水平.
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