妊娠合并甲状腺功能亢进性心脏病病例报告及分析  

Case-report and analysis of hyperthyroid heart disease in pregnancy

作　　者：张海珍[1] 韩小英[1] 迟心左[1] 

机构地区：[1]首都医科大学宣武医院妇产科,北京100053

出　　处：《中国现代医学杂志》2009年第16期2511-2513,2517,共4页China Journal of Modern Medicine

摘　　要：目的探讨妊娠合并甲状腺功能亢进性心脏病的处理原则。方法采用回顾性研究方法,报告2例妊娠合并甲状腺功能亢进性心脏病患者,并对病案进行讨论与分析。结果未经过系统治疗的妊娠合并甲亢,其合并重度子痫前期、甲亢性心脏病的发生率高,危险性高,治疗困难。结论妊娠甲亢性心脏病在甲状腺功能控制不满意但需积极终止妊娠时,可在服用大剂量丙基硫氧嘧啶同时服用碘剂,使甲状腺功能在短时间内控制满意,但术后应及时减量。治疗时强调多学科合作。[ Objective ] To discuss the treatment principle of hyperthyroid heart disease in pregnancy. [ Methods ] A retrospective study was conducted, we reported the eases of two patients with hyperthyroid heart disease in pregnancy, discussed and analysed theses cases. [ Results ] Patients with hyperthyroidism in pregnancy who were not treated systemically, had higher rate of combination with severe pre-eclampsia and hyperthyroid heart disease, had higher fatalness and more difficulties in treatment. [ Conclusions] When patient with hyperthyroid heart disease in pregnancy which were treated dissatisfaetory need operation, iodine solution （Lugol＇s Solution） can be took combina- tion with great dose of propythiouracil （PTU）, the thyroid function could be eontroled in time. The dosage of iodine solution need reduced after operation. The cooperation of multi-department were emphasized.

关 键 词：妊娠 甲状腺功能亢进性心脏病 治疗 

分 类 号：R714.147[医药卫生—妇产科学]