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妊娠期甲状腺功能亢进综合征的诊治 被引量：3

The diagnosis and treatment of gestational hyperthyroidism
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摘要 妊娠期甲状腺功能亢进综合征是妊娠早期常见的甲状腺功能异常。该病与妊娠早期血绒毛膜促性腺激素升高和促甲状腺激素(TSH)相应改变有关。伴随着怕热、多汗、情绪不稳、呕吐、心悸等临床症状。实验室检查TSH降低,游离甲状腺素(FT4)和总甲状腺素(TT4)增加,甲状腺过氧化物酶抗体(TPOAb)、甲状腺球蛋白抗体(TgAb)和促甲状腺激素受体抗体(TRAb)阴性。治疗以对症支持治疗为主,不建议使用抗甲状腺药物。 Gestational hyperthyroidism is a common thyroid dysfunction during early pregnancy. The cause of the gestational hyperthyroidism is believed to be a result of cross- reactivity between HCG and TSH at the thyroid receptor. Women with this disease have heat intolerance, sweating, mood swings, vomiting, heart palpitations and other symptoms. Serum TSH is frequently low and FT4 is high, and autoimmuantibodys are negative. Supportive therapy is recommended, while ATDs are not recommended.
作者 瞿晓娴 应豪
机构地区 同济大学附属第一妇婴保健院产科
出处 《中国实用妇科与产科杂志》 CAS CSCD 北大核心 2013年第6期413-415,共3页 Chinese Journal of Practical Gynecology and Obstetrics
关键词 妊娠 甲状腺功能亢进综合征 pregnancy hyperthyroidism syndromes
分类号 R714.256 [医药卫生—妇产科学]
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参考文献12

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二级参考文献27

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共引文献129

同被引文献18

  • 1LUEWAN S, CHAKKABUT P, TONGSONG T. Outcomes of pregnancy complicated with hyperthyroidism: a cohort study [J]. Arch Gyneeol Obstet, 2011,283(2): 243-247.
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  • 6Krassas G,Karras S N,Pontikides N.Thyroid diseases during pregnancy:A number of important issues. Hormones . 2015
  • 7Gallo-Vallejo JL,Gallo-Vallejo FJ.(Endocrinopathies during the postpartum period.Management)Semergen . 2015
  • 8Wei Qian,Lijun Zhang,Mi Han,Shuzin Khor,Jun Tao,Mengfan Song,Jianxia Fan.??Screening for thyroid dysfunction during the second trimester of pregnancy(J)Gynecological Endocrinology . 2013 (12)
  • 9Hakan Aytan,Ahmet C. Caliskan,Fazl? Demirturk,Semsettin Sahin,Filiz Erdogan,Zehra Kuzu.??Relationship between maternal thyroid hormones and the biochemical markers of the first trimester aneuploidy screening(J)Archives of Gynecology and Obstetrics . 2013 (6)
  • 10A. Delabaere,X. Tran,K. Jardon,J.-L. Pouly,N. Bourdel.??Syndrome d’hyperstimulation ovarienne spontanée dans un contexte gravidique avec hypothyro?die(J)Gynécologie Obstétrique & Fertilité . 2011 (3)

引证文献3

二级引证文献16

中国实用妇科与产科杂志
2013年 第6期

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