Crump W J, Aten L A
Department of Family Medicine, University of Alabama, Huntsville.
J Fam Pract. 1992 Oct;35(4):450, 453-6.
Nausea and vomiting are common during pregnancy and, when severe enough to require intervention, may develop into the syndrome known as hyperemesis gravidarum. When the diagnosis of hyperemesis is considered, a careful search for secondary causes is necessary. The list of secondary causes includes hyperthyroidism, a relatively uncommon condition during pregnancy. Because many of the signs and symptoms of hyperthyroidism are common, and thyroid function tests are more difficult to interpret during normal pregnancy, making the diagnosis of hyperemesis gravidarum is a challenge. The decision to treat or to await spontaneous resolution depends on the severity of the illness and the likelihood of the presence of true Graves' disease. The case summarized here demonstrates these issues, and includes treatment options for hyperemesis-associated hyperthyroidism.
恶心和呕吐在孕期很常见，当严重到需要干预时，可能会发展为妊娠剧吐综合征。当考虑妊娠剧吐的诊断时，有必要仔细寻找继发原因。继发原因包括甲状腺功能亢进，这在孕期相对不常见。由于甲状腺功能亢进的许多体征和症状很常见，而且孕期甲状腺功能检查更难解读，因此诊断妊娠剧吐是一项挑战。决定治疗还是等待自然缓解取决于疾病的严重程度以及真正格雷夫斯病存在的可能性。此处总结的病例展示了这些问题，并包括了妊娠剧吐相关甲状腺功能亢进的治疗选择。
