摘要
由于甲亢的一些症状和体征类似于正常妊娠中发生的正常生理变化,且孕期甲亢及其治疗对妊娠结果和胎儿可能的不良影响,所以给孕期甲亢的诊疗带来困难。孕期甲亢患者应尽快接受抗甲状腺药物(antithyroid drugs,ATD)的治疗并应经常接受胎儿和孕妇甲亢及甲减征象的监测。孕妇和围产期的并发症发生率直接与母亲甲亢的控制有关,应对所有甲亢妇女进行促甲状腺受体抗体(thyrotrophin receptor antibody,TRAb)的评估。所有妊娠剧吐患者均应测定甲状腺功能,少数妊娠剧吐短暂甲亢孕妇需ATD治疗。
Diagnosing and treatment of hyperthyroidism during pregnancy can be challenging because many of the signs and symptoms are similar to normal physiologic changes that occur in pregnancy and treatment of hyperthyroidism or itself could potentially adversely affect fetal and pregnancy outcome during pregnancy.Patients with Graves＇s disease require prompt treatment with antithyroid drugs and should undergo frequent monitoring for signs of fetal and maternal hyperthyroidism and hypothyroidism.Rates of maternal and perinatal complications are directly related to control of hyperthyroidism in the mother,so TRAb should be assessed in all Gestational women with hyperthyroidism.Thyroid function tests should be measured in all patients with hyperemesis gravidarum,and few women with hyperemesis gravidarum will require antithyroid drugs treatment.
出处
《医学与哲学（B）》
2011年第4期59-61,72,共4页
Medicine & Philosophy(B)
关键词
妊娠甲亢
妊娠剧吐
诊断
并发症
抗甲状腺药物
gestational hyperthyroidism
hyperemesis gravidarum
diagnosing
antithyroid drugs
complications
