Abell T L, Riely C A
Division of Gastroenterology, University of Tennessee, Memphis.
Gastroenterol Clin North Am. 1992 Dec;21(4):835-49.
Hyperemesis gravidarum is a poorly understood disorder and one for which many physicians have little sympathy, perhaps because we find it difficult to understand its pathogenesis and to treat. It may be associated with dysfunction in a variety of organs, including the thyroid and liver. Many theories, prominently including psychological or behavioral abnormalities, have been proposed to explicate this syndrome. On examination, however, no single theory seems to provide an adequate explanation for hyperemesis gravidarum. Treatment for hyperemesis gravidarum includes fluid and electrolyte supplementation, nutritional support, and total parenteral nutrition, as well as psychological and behavioral therapies and, in selected cases, pharmacotherapy.
妊娠剧吐是一种了解甚少的病症，许多医生对其缺乏同情，或许是因为我们觉得难以理解其发病机制并进行治疗。它可能与包括甲状腺和肝脏在内的多种器官功能障碍有关。人们提出了许多理论，其中突出的包括心理或行为异常，以解释这一综合征。然而，经研究，没有一种单一理论似乎能为妊娠剧吐提供充分的解释。妊娠剧吐的治疗包括补充液体和电解质、营养支持以及全胃肠外营养，还有心理和行为疗法，在某些特定情况下还包括药物治疗。
