[怀孕期间出现了两例复杂的原发性甲状腺功能障碍症]
Anna-Lena Farwick1, Mustafa Bačinović2, Oleg Heizmann2
1Klinik für Hämatologie-Onkologie, Nephrologie und Geriatrie, Agaplesion Diakonieklinikum Rotenburg (Wümme), Elise-Averdieck-Straße 17, 27356, Rotenburg (Wümme), Deutschland. anna-lena.farwick@agaplesion.de.
Innere Medizin (Heidelberg, Germany)
|October 10, 2025
概括
怀孕期间的原发性甲状腺功能增强症可能会导致严重的高热血症并发症. 准甲状腺瘤的早期诊断和手术切除对于有利的孕产妇和胎儿的结果至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 产科 产科 产科 产科 产科
- 手术瘤学手术瘤学
背景情况:
- 原发性偏甲状腺症 (PHPT) 是怀孕期间的一种罕见疾病.
- 怀孕期间的高血症对母亲和胎儿都有很大的风险.
- 延迟诊断可能导致严重的孕产妇和胎儿并发症.
研究的目的:
- 报告怀孕期间诊断的两例PHPT病例.
- 突出早期跨学科管理的重要性.
- 强调需要迅速进行手术干预的需要.
主要方法:
- 两名孕妇患有PHPT的病例报告.
- 诊断成像以确定副甲状腺腺瘤.
- 副甲状腺瘤的外科切除.
主要成果:
- 两个PHPT病例的诊断是由于怀孕期间严重的高血症并发症.
- 成功切除副甲状腺腺瘤的手术.
- 超血症的解决和手术后的良好结果.
结论:
- 在怀孕期间的PHPT需要及时诊断和管理.
- 跨学科的合作是最大限度地减少孕产妇和胎儿的风险的关键.
- 副甲状腺瘤的手术治疗在怀孕期间是安全有效的.
相关概念视频
00:59The Parathyroid Glands
4.3K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
4.3K
01:17Hormones and Bone Tissue
3.7K
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...
3.7K
01:20Pathophysiology of Diabetes
3.1K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K
01:21Skeleton and Calcium Homeostasis
5.8K
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.
5.8K
01:27Adrenal Gland Disorders
2.9K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
2.9K