摘要
目的:探讨妊娠合并甲状腺功能亢进症的孕妇的妊娠结局,对母体造成的影响,抗甲状腺药物的使用情况及分娩方式。方法:对23例甲状腺功能亢进孕妇进行了回顾性分析,观察该病对孕妇的影响,对母儿造成的不良结局。结果:23例甲状腺功能亢进孕妇合并轻度妊娠高血压综合征的2例,中度4例,重度2例。合并心衰6例,合并胎膜早破5例,胎盘粘连2例,甲状腺危象1例,胎盘早剥1例,产后出血1例,前置胎盘1例。23例甲状腺功能亢进顺产6例,产钳1例,胎头吸引1例,剖宫产15例。出现早产9例,其中5例为医源性早产。胎儿宫内窘迫6例,死胎1例。结论:妊娠合并甲状腺功能亢进症常危及母婴健康,为降低母儿风险,孕前需很好地控制病情,孕期密切监控,合理治疗。
Objective： To study the final result, administration of antithyroid drugs and natal pattern of the pregnant women with Hyperthy- roidism（HT）. Methods： The clinical data of 23 pregnant women with HT were retrospectively analysed, and the influence of tiT on pregnant women and the harmful effects of HT on maternal and neonatal health were observed. Results： Among the 23 pregnant women with HT, there were 2 combined with mild, 4 with moderate, and 2 with severe pregnancy - induced hypertension syndrome（PIH） ; 6 combined with heart failure, 5 with premature breaking of fetal membranes, 2 with adhesion of placenta, 1 with thyroid crisis, 1 with premature separation of placenta, 1 with postpartum bleeding, and 1 with placental presentation; 6 pregnant women of natural labor, 1 undergone irtrumental extraction, 1 attraction of fetal head, 15 hysterotokotomy; 9 of premature labor（of which, 5 were nosocomial）, 6 of fetal intrauterine embarrassment, and 1 of fetal death. Conclusion： Pregnancy combined with hyperthyroidism often endangers maternal and neonatal health. Therefore, for reducing the risks, before pregnancy, the patients＇ conditions should be well controlled; during pregnancy, pregnant women should be closely paid more attention to and treated reasonably.
出处
《生物磁学》
CAS
2006年第1期45-46,共2页
Biomagnetism
关键词
妊娠合并甲状腺功能亢进症
妊娠结局
分娩方式
Pregnancy- induced hypertension syndrome（PIH）
Final result of pregnancy
Natal pattern
