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目的探讨妊娠合并甲亢的诊断和治疗、甲亢并发症和新生儿的结局。方法对52例妊娠合并甲亢患者其中的38例能早期诊断及治疗,并定期复查及产检者为治疗组;14例患者入院时已是孕晚期或因有妊娠并发症入院,孕期未行产检,入院确诊为妊娠合并甲亢者为对照组。通过脐血查T_3、T_4、TSH了解新生儿甲状腺功能情况。结果治疗组的并发症发生率显著低干对照组(P<0.01或0.05),对照组有2例新生儿甲亢。结论妊娠合并甲亢应早期诊断和治疗,以减少并发症发生。
Objective To investigate the diagnosis and treatment of hyperthyroidism during pregnancy, hyperthyroidism complications and neonatal outcomes. Methods Thirty-eight of 52 pregnant women with hyperthyroidism were diagnosed and treated early, and were regularly reviewed and the patients were selected as the treatment group. Fourteen patients were admitted to hospital at the third trimester of pregnancy or were admitted to hospital due to pregnancy complications, Admitted to hospital for pregnancy complicated with hyperthyroidism as control group. Through cord blood check T_3, T_4, TSH understanding of neonatal thyroid function. Results The incidence of complications in the treatment group was significantly lower than that in the control group (P <0.01 or 0.05), while that in the control group was 2 cases of neonatal hyperthyroidism. Conclusion Pregnancy with hyperthyroidism should be diagnosed and treated early to reduce the incidence of complications.