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[妊娠期内分泌急症]

[Endocrine emergencies during pregnancy].

作者信息

Harbeck B, Schütt M, Sayk F

机构信息

Medizinische Klinik I, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2012 Mar;107(2):110-7. doi: 10.1007/s00063-011-0035-4. Epub 2012 Feb 2.

Abstract

Endocrine emergencies during pregnancy can become life-threatening for both mother and fetus. In addition to some pregnancy-linked endocrine disorders, several pre-existing forms of endocrinopathy, such as Grave's disease, type 1 diabetes and adrenal insufficiency might deteriorate acutely during pregnancy. Early diagnosis and management are challenging because the classical symptoms are often modified by pregnancy. Laboratory tests are subject to altered physiological ranges and pharmacological options are limited while therapeutic goals are stricter than in the non-pregnant patient. This article focuses on endocrine emergencies complicating pregnancy.

摘要

孕期内分泌急症可能对母亲和胎儿都构成生命威胁。除了一些与妊娠相关的内分泌疾病外,几种已有的内分泌病形式,如格雷夫斯病、1型糖尿病和肾上腺功能不全,在孕期可能会急性恶化。早期诊断和管理具有挑战性,因为典型症状常因妊娠而改变。实验室检查的生理范围会发生变化,药物选择有限,而治疗目标比非孕期患者更严格。本文重点关注并发妊娠的内分泌急症。

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