Lao T T, Chin R K, Chang A M
Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital.
Aust N Z J Obstet Gynaecol. 1987 May;27(2):99-101. doi: 10.1111/j.1479-828x.1987.tb00953.x.
Thirty-nine patients presenting with hyperemesis gravidarum were studied and the subsequent course and outcome of pregnancy between patients with normal and abnormal thyroid function was compared. Seventeen patients (43.6%) developed transient hyperthyroidism, for which a short course of antithyroid treatment was required in 2 patients. There was no difference in the outcome of pregnancy between patients with normal and abnormal thyroid function. The results suggest that while antithyroid treatment is effective for symptomatic control, it is unnecessary in the majority of patients since the condition is self-limiting, and the outcome of pregnancy not adversely affected by the transient hyperthyroidism in hyperemetic patients.
对39例妊娠剧吐患者进行了研究,并比较了甲状腺功能正常和异常患者的后续妊娠过程及结局。17例患者(43.6%)出现短暂性甲状腺功能亢进,其中2例患者需要进行短期抗甲状腺治疗。甲状腺功能正常和异常的患者在妊娠结局方面没有差异。结果表明,虽然抗甲状腺治疗对症状控制有效,但对大多数患者来说是不必要的,因为这种情况是自限性的,妊娠剧吐患者的短暂性甲状腺功能亢进不会对妊娠结局产生不利影响。