Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA 90095, USA; Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard (111D), Los Angeles, CA 90073, USA.
University of Hawaii John A. Burns School of Medicine, 651 Ilalo Street, Medical Education Building, 3rd Floor, Honolulu, HI 96813, USA.
Endocrinol Metab Clin North Am. 2024 Sep;53(3):349-361. doi: 10.1016/j.ecl.2024.05.002. Epub 2024 Jun 22.
This review summarizes the diagnosis and management of thyrotoxicosis in pregnancy. The diagnostic clinical and biochemical considerations used to distinguish the various etiologies of hyperthyroidism from appropriate physiologic changes during pregnancy will be outlined. Finally, the review will discuss the risks and benefits of available options for the treatment of thyrotoxicosis during pregnancy, to mitigate the risks of fetal hyperthyroidism.
这篇综述总结了妊娠期间甲状腺功能亢进症的诊断和管理。将概述用于区分甲状腺功能亢进症各种病因与妊娠期间适当生理变化的诊断临床和生化考虑因素。最后,该综述将讨论在妊娠期间治疗甲状腺功能亢进症的可用选择的风险和益处,以减轻胎儿甲状腺功能亢进症的风险。