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孕期尿雌激素排泄量低,原因是胎儿促肾上腺皮质激素分泌受损。

Low urinary oestrogen excretion during pregnancy, due to an impairment of fetal adrenocorticotrophic hormone secretion.

作者信息

Grimberg M T, Kruijswijk H, Weijers R N, Kroesbergen J, Van Eijk R, Herbschleb J N

出版信息

Clin Chim Acta. 1978 Sep 15;88(3):449-59. doi: 10.1016/0009-8981(78)90280-2.

DOI:10.1016/0009-8981(78)90280-2
PMID:212221
Abstract

Four cases of newborn infants whose mothers had a low urinary oestrogen excretion during pregnancy are reported. Placental sulphatase deficiency in placental insufficiency were excluded by a dehydroepiandrosterone sulphate loading test. Postnatally, they developed a clinical picture characterized by an inappropriate secretion of cortisol which, by the results of an adrenocorticotrophic hormone stimulation test, appeared to be due to an impairment of adrenocorticotrophic hormone secretion. The prenatal and postnatal steroid metabolism is discussed.

摘要

本文报告了4例母亲在孕期尿雌激素排泄量低的新生儿病例。通过硫酸脱氢表雄酮负荷试验排除了胎盘硫酸酯酶缺乏和胎盘功能不全。出生后,他们出现了以皮质醇分泌异常为特征的临床表现,根据促肾上腺皮质激素刺激试验结果,这似乎是由于促肾上腺皮质激素分泌受损所致。本文还讨论了产前和产后的类固醇代谢。

相似文献

1
Low urinary oestrogen excretion during pregnancy, due to an impairment of fetal adrenocorticotrophic hormone secretion.孕期尿雌激素排泄量低,原因是胎儿促肾上腺皮质激素分泌受损。
Clin Chim Acta. 1978 Sep 15;88(3):449-59. doi: 10.1016/0009-8981(78)90280-2.
2
Antenatal detection of placental steroid sulphatase deficiency by measurement of urinary 16 alpha-hydroxydehydroepiandrosterone sulphate.
Ann Clin Biochem. 1988 Mar;25 ( Pt 2):155-61. doi: 10.1177/000456328802500205.
3
The causes of low oestrogen excretion in pregnancy: assessment of the fetal contribution by steroid measurements post partum.孕期雌激素排泄量低的原因:产后通过类固醇测量评估胎儿的影响。
Br J Obstet Gynaecol. 1980 Dec;87(12):1087-94. doi: 10.1111/j.1471-0528.1980.tb04478.x.
4
Antenatal diagnosis of placental sulphatase deficiency.胎盘硫酸酯酶缺乏症的产前诊断。
Scott Med J. 1981 Oct;26(4):323-7. doi: 10.1177/003693308102600406.
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The use of total urinary oestrogen estimation in the management of the "at risk" fetus.总尿雌激素测定在“高危”胎儿管理中的应用。
Ir J Med Sci. 1974 Jan;143(1):25-9. doi: 10.1007/BF03004737.
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Oestrogen levels in urine and amniotic fluid in pregnancy with live anencephalic foetus and the effect of intra-amniotic injection of sodium dehydroepiandrosterone sulphate on these levels.怀有存活无脑儿胎儿的妊娠中尿液和羊水中的雌激素水平以及羊膜腔内注射硫酸脱氢表雄酮对这些水平的影响。
Acta Endocrinol (Copenh). 1966 Apr;51(4):535-42. doi: 10.1530/acta.0.0510535.
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Comparison between urinary oestrogen assay and serial ultrasonic cephalometry in assessment of fetal growth retardation.尿雌激素测定与连续超声头测量法在评估胎儿生长迟缓中的比较。
Br Med J. 1972 Nov 11;4(5836):336-40. doi: 10.1136/bmj.4.5836.336.
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The causes of low oestrogen excretion in pregnancy: the development of diagnostic methods for the antenatal detection of familial congenital adrenocortical hypoplasia.孕期雌激素排泄减少的原因:用于产前检测家族性先天性肾上腺皮质发育不全的诊断方法的发展
Clin Endocrinol (Oxf). 1980 May;12(5):453-60. doi: 10.1111/j.1365-2265.1980.tb02735.x.
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Activation of the baboon fetal pituitary-adrenocortical axis at midgestation by estrogen: responsivity of the fetal adrenal gland to adrenocorticotropic hormone in vitro.雌激素对狒狒妊娠中期胎儿垂体-肾上腺皮质轴的激活作用:胎儿肾上腺在体外对促肾上腺皮质激素的反应性。
Biol Reprod. 1995 Nov;53(5):996-1002. doi: 10.1095/biolreprod53.5.996.
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The regulation of adrenocorticotrophic hormone receptor by corticotropin-releasing hormone in human fetal adrenal definitive/transitional zone cells.促肾上腺皮质激素释放激素对人胎儿肾上腺永久/过渡带细胞中促肾上腺皮质激素受体的调节
Reprod Sci. 2007 Sep;14(6):578-87. doi: 10.1177/1933719107307908.

引用本文的文献

1
Review: placental sulphatase deficiency.
J Inherit Metab Dis. 1982;5(3):164-76. doi: 10.1007/BF01800173.