急性高血危机:一个叙事回顾,重点关注怀孕
1Endocrinology Diabetology and Nutrition Department, Centre Hospitalier de Cayenne, avenue des Flamboyants, 97300 Cayenne, French Guiana.
Annales d'endocrinologie
|June 16, 2024
概括
怀孕期间的高血危机,通常是由原发性甲状腺功能障碍症引起的,对母亲和胎儿构成风险. 早期检测和及时的手术干预,最好是在第二个三个月,对于最佳的管理至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 产科和妇科 产科和妇科
背景情况:
- 超血危机是一种罕见但严重的疾病.
- 它与显著的孕产妇和胎儿风险有关,特别是在怀孕期间.
- 初级甲状腺功能障碍是最常见的原因,即使在孕妇中也是如此.
研究的目的:
- 强调识别和管理妊娠中高血危机的重要性.
- 强调需要更新妊娠期间诊断和治疗的指导方针.
- 为了强调手术作为主要治疗的关键作用.
主要方法:
- 审查当前文献和专家对高热血危机和怀孕的共识.
- 在孕妇患者中分析-酸盐代谢.
- 讨论诊断和治疗策略.
主要成果:
- 初级甲状腺功能障碍症是妊娠中高血症的主要原因.
- 怀孕期间高血危机的管理方案尚未明确定义.
- 手术是最终的治疗方法,最好是在怀孕的第二个三个月.
结论:
- 建议在怀孕期间系统地早期检测高血症.
- 多学科的方法对于管理患有高血危机的孕妇患者至关重要.
- 优化手术准备,包括诊断工作是必要的,尽管在怀孕期间干预的一般禁忌.
相关概念视频
01:30Acute Pancreatitis II: Clinical Manifestations and Management
118
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
118
00:51Synthesis and Functions of Calcitonin
1.8K
Calcitonin, a vital polypeptide hormone, regulates calcium levels within body fluids. It is released by the parafollicular cells, also known as C cells, situated in the follicular epithelium of the thyroid gland. Calcitonin responds to fluctuations in blood calcium levels and the influence of gastrointestinal hormones like gastrin and cholecystokinin.
The exact mechanisms by which calcitonin operates in calcium homeostasis remain elusive, but its significance is evident in several vital...
The exact mechanisms by which calcitonin operates in calcium homeostasis remain elusive, but its significance is evident in several vital...
1.8K
01:21Skeleton and Calcium Homeostasis
4.5K
Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
4.5K
01:29Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84
01:17Hormones and Bone Tissue
2.7K
The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
2.7K
01:15Hypoglycemia and Glucagon
256
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
256