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[甲状腺与妊娠——生理与病理]

[Thyroid gland and pregnancy--physiology and pathology].

作者信息

Łacka Katarzyna, Łakoma Hanna

机构信息

Katedry i Kliniki Endokrynologii i Przemiany Materii Akademii Medycznej w Poznaniu.

出版信息

Wiad Lek. 2002;55(7-8):450-62.

Abstract

Changes in thyroid function and structure during pregnancy, including abnormalities in thyroid ultrasonography. Levels of thyroid stimulating hormone (TSH), free thyroxine (FT4), total thyroxine (TT4), total triiodothyronine (TT3), reverse triiodothyronine (rT3), thyroxin binding globulin (TBG) and thyroglobulin (Tg) as well as the changes in metabolism have been presented. Difficulties in the diagnostics of hyperthyroidism and hypothyroidism in pregnant women have been described. In addition modern ideas about the treatment of thyroid dysfunction in this period of woman life have been presented. Furthermore thyroid physiology and pathology in fetus and newborn have been described.

摘要

孕期甲状腺功能和结构的变化,包括甲状腺超声检查异常。文中介绍了促甲状腺激素(TSH)、游离甲状腺素(FT4)、总甲状腺素(TT4)、总三碘甲状腺原氨酸(TT3)、反三碘甲状腺原氨酸(rT3)、甲状腺素结合球蛋白(TBG)和甲状腺球蛋白(Tg)的水平以及代谢变化。描述了孕妇甲状腺功能亢进和减退诊断中的困难。此外,还介绍了关于这一女性生命时期甲状腺功能障碍治疗的现代观点。此外,还描述了胎儿和新生儿的甲状腺生理学和病理学。

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