Yang Ming-Jie, Cheng Ming-Huei
Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
J Chin Med Assoc. 2005 Jul;68(7):336-8. doi: 10.1016/S1726-4901(09)70171-6.
Hyperthyroidism is one of the most common causes of cardiac failure. Blood volume expands greatly during pregnancy, especially after the last part of the second trimester. Such expansion exacerbates the symptoms of heart failure and accelerates the development of pulmonary edema when abnormal thyroid function is not well controlled. Two cases of pregnancy complicated with congestive heart failure and pulmonary edema due to hyperthyroidism are reported here. Both patients did not receive treatment for hyperthyroidism during pregnancy, and both sought clinical help during the third trimester. The clinical problems were resolved by medical management before delivery.
甲状腺功能亢进是心力衰竭最常见的病因之一。孕期血容量会大幅增加，尤其是在妊娠中期后半段之后。当甲状腺功能异常未得到良好控制时，这种血容量增加会加重心力衰竭症状并加速肺水肿的发展。本文报告了两例因甲状腺功能亢进合并充血性心力衰竭和肺水肿的妊娠病例。两名患者孕期均未接受甲状腺功能亢进治疗，均在妊娠晚期寻求临床帮助。分娩前通过药物治疗解决了临床问题。
