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胎儿宫内甲状腺毒症

Fetal thyrotoxicosis in utero.

作者信息

Serup J, Petersen S

出版信息

Biol Neonate. 1979;35(3-4):175-9. doi: 10.1159/000241169.

DOI:10.1159/000241169
PMID:435593
Abstract

A case of fetal thyrotoxicosis in utero in a boy with familial predisposition to thyrotoxicosis is reported. At 26 weeks of gestation fetal hyperkinesia and fetal tachycardia developed. This was preceded by a significant pathologic increase in long-acting thyroid stimulator (LATS) in the mother. The fetal hyperkinesia and tachycardia were considered to be signs of fetal thyrotoxicosis, possibly induced by placentally transferred LATS. The fetal thyrotoxicosis responded well to propylthiouracil given to the mother. After birth the boy developed slight signs of neonatal thyrotoxicosis although his serum thyroxine values increased analogous to those of his elder sister, who had presented classical neonatal thyrotoxicosis.

摘要

报道了一例患有甲状腺毒症家族易感性男孩的子宫内胎儿甲状腺毒症病例。妊娠26周时出现胎儿运动亢进和胎儿心动过速。在此之前,母亲体内长效甲状腺刺激素(LATS)出现显著病理性升高。胎儿运动亢进和心动过速被认为是胎儿甲状腺毒症的体征,可能是由胎盘转运的LATS诱发的。胎儿甲状腺毒症对给予母亲的丙硫氧嘧啶反应良好。出生后,该男孩出现了轻微的新生儿甲状腺毒症体征,尽管他的血清甲状腺素值升高情况与患有典型新生儿甲状腺毒症的姐姐类似。

相似文献

1
Fetal thyrotoxicosis in utero.胎儿宫内甲状腺毒症
Biol Neonate. 1979;35(3-4):175-9. doi: 10.1159/000241169.
2
Hyperthyroidism during pregnancy treated with propylthiouracil. The significance of maternal and foetal parameters.孕期甲亢采用丙硫氧嘧啶治疗。母体和胎儿参数的意义。
Acta Obstet Gynecol Scand. 1977;56(5):463-6. doi: 10.3109/00016347709155012.
3
The possible relation between postpartum exacerbation of hyperthyroidism and neonatal thyrotoxicosis.
Acta Med Scand. 1977;202(6):455-8. doi: 10.1111/j.0954-6820.1977.tb16864.x.
4
Fetal tachycardia associated with intrauterine fetal thyrotoxicosis.与胎儿宫内甲状腺毒症相关的胎儿心动过速。
Obstet Gynecol. 1980 Mar;55(3 Suppl):18S-22S. doi: 10.1097/00006250-198003001-00006.
5
Prenatal treatment of thyrotoxicosis to prevent intrauterine growth retardation.甲状腺毒症的产前治疗以预防宫内生长迟缓。
Obstet Gynecol. 1982 Jul;60(1):122-4.
6
Neonatal hyperthyroidism in an infant born of an euthyroid mother.甲状腺功能正常的母亲所生婴儿的新生儿甲状腺功能亢进症。
Am J Dis Child. 1971 May;121(5):440-3. doi: 10.1001/archpedi.1971.02100160110019.
7
Treatment of hyperthyroidism in pregnancy with propylthiouracil and methimazole.孕期甲状腺功能亢进症的丙硫氧嘧啶和甲巯咪唑治疗。
Obstet Gynecol. 1975 Sep;46(3):282-6.
8
Neonatal thyrotoxicosis is associated with transplacental passage of human thyroid stimulating immunoglobulin (HTSI).新生儿甲状腺毒症与人类甲状腺刺激免疫球蛋白(HTSI)经胎盘传递有关。
Arch Dis Child. 1976 Jul;51(7):565-7. doi: 10.1136/adc.51.7.565.
9
Neonatal thyrotoxicosis: a rare pediatric emergency.新生儿甲状腺毒症:一种罕见的儿科急症。
Ann Emerg Med. 1980 Nov;9(11):585-7. doi: 10.1016/s0196-0644(80)80231-9.
10
[Neonatal hyperthyroidism: a case report and literature review].[新生儿甲状腺功能亢进症:一例报告及文献综述]
Nan Fang Yi Ke Da Xue Xue Bao. 2013 Oct;33(10):1557-9.

引用本文的文献

1
Thyroid-stimulating immunoglobulins and thyroid function tests in two siblings with neonatal thyrotoxicosis.两名患有新生儿甲状腺毒症的 siblings 的促甲状腺素受体抗体和甲状腺功能测试
Eur J Pediatr. 1986 Apr;145(1-2):143-7. doi: 10.1007/BF00441879.