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颈部肿块:一种通过内科治疗可导致呼吸窘迫的阻塞性病因。

Neck mass: an obstructive cause of respiratory distress with medical management.

作者信息

Singh Vijay, Pandita Aakash, Gupta Girish, Shukla Amit

机构信息

Department of Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

出版信息

BMJ Case Rep. 2017 Dec 2;2017:bcr-2017-222457. doi: 10.1136/bcr-2017-222457.

Abstract

Congenital goitre is a known cause of hypothyroidism in newborn. Congenital goitre can be due to defective synthesis of thyroxine or administration of antithyroid drugs to the mother during pregnancy. In this case report, we report an instance of a preterm male infant with antenatally detected goitre presenting as a neck mass with congenital hypothyroidism. Hormonal replacement therapy was started immediately after birth which lead to resolution of the mass and normalisation of thyroid function.

摘要

先天性甲状腺肿是新生儿甲状腺功能减退的已知病因。先天性甲状腺肿可能是由于甲状腺素合成缺陷或母亲在孕期服用抗甲状腺药物所致。在本病例报告中,我们报告了一例早产男婴,产前检测到甲状腺肿,表现为颈部肿块并伴有先天性甲状腺功能减退。出生后立即开始激素替代治疗,这使得肿块消退且甲状腺功能恢复正常。

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本文引用的文献

1
Fetal neonatal hyperthyroidism: diagnostic and therapeutic approachment.胎儿及新生儿甲状腺功能亢进症:诊断与治疗方法
Turk Pediatri Ars. 2017 Mar 1;52(1):1-9. doi: 10.5152/TurkPediatriArs.2017.2513. eCollection 2017 Mar.
2
Intra-amniotic thyroxine to treat fetal goiter.羊膜腔内注射甲状腺素治疗胎儿甲状腺肿。
Obstet Gynecol Sci. 2016 Jan;59(1):66-70. doi: 10.5468/ogs.2016.59.1.66. Epub 2016 Jan 15.
3
A newborn with neck mass.
Einstein (Sao Paulo). 2011 Mar;9(1):78-80. doi: 10.1590/S1679-45082011RC1891.

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