Thomson J A, Wilson R, Gray C G, Glen A C, Mack D
University Department of Medicine, Royal Infirmary, Glasgow.
Scott Med J. 1989 Jun;34(3):472-3. doi: 10.1177/003693308903400312.
We report a case of hyperemesis gravidarum complicated by thyrotoxicosis which was managed conservatively during pregnancy. Problems of diagnosing mild thyrotoxicosis in pregnancy are discussed. Although no specific antithyroid therapy was given, the patient had an uneventful pregnancy after the first trimester. Neither she nor her baby exhibited any subsequent features of thyroid dysfunction. This suggests that treatment of thyrotoxicosis in early pregnancy is not always required because of the spontaneous improvement which is likely to occur as pregnancy progresses.
我们报告一例妊娠剧吐合并甲状腺毒症的病例，该患者在孕期接受了保守治疗。文中讨论了孕期诊断轻度甲状腺毒症的问题。尽管未给予特定的抗甲状腺治疗，但患者在孕早期后妊娠过程顺利。她和她的宝宝均未出现任何后续甲状腺功能障碍的特征。这表明，由于随着妊娠进展可能会出现自发改善，孕早期并不总是需要治疗甲状腺毒症。
