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新生儿过渡性先天性甲状腺功能低下症的自然过程
Tal Almagor1, Shlomo Almashanu2, Ghadir Elias-Assad3
1Pediatric Endocrine Institute, Ha'Emek Medical Center, Afula, Israel.
Endocrine connections
|October 16, 2024
概括
遗传性甲状腺功能低下症 (CH) 通常是短暂的,特别是在早产婴儿. 大多数患有过渡性CH的儿童不需要长期的甲状腺激素治疗,但神经发育监测至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 新生儿健康 新生儿健康
- 甲状腺疾病 甲状腺疾病
背景情况:
- 由于查值较低,先天性甲状腺功能低下 (CH) 发病率上升,增加了暂时性甲状腺功能低下的识别.
- 过渡性CH的长期结果没有得到充分的记录,需要进一步调查.
研究的目的:
- 评估被诊断患有过渡性先天性甲状腺功能低下症的新生儿的长期临床过程.
- 确定长期甲状腺功能监测的必要性,并确定不良结果的风险因素.
主要方法:
- 对于1998年至2018年期间被诊断患有过渡性或永久性CH的新生儿的医疗记录的回顾性分析.
- 包括76名患有过渡性CH的新生儿和53名患有永久性CH.
主要成果:
- 过早出生 (29%) 和亚临床甲状腺功能低下 (30%) 是暂时性甲状腺炎的主要原因.
- 只有综合症患者 (例如,唐氏综合症) 需要持续的勒沃西治疗;非综合症患者没有.
- 神经发育障碍发生在16%的过渡性CH病例中,而永久性CH病例的29.4%中.
结论:
- 过渡性CH通常是一种自我限制的疾病,通常在生命的头几年内消失.
- 长期监测甲状腺功能可能是不必要的非综合征的儿童过渡性CH.
- 对新生儿进行密切的神经发育监测是必不可少的,因为新生儿患有过渡性CH,其损伤率很高.
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