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氯米芬诱导尿崩症合并甲状腺功能减退患者妊娠。

Clomiphene-induced pregnancy in a patient with diabetes insipidus and hypothyroidism.

作者信息

Chelvam P, Ahmad Z

出版信息

Med J Aust. 1979 Sep 22;2(6):316-7.

PMID:522768
Abstract

A patient with diabetes insipidus and hypothyroidism developed anovular menstrual cycles. Ovulation, which was followed by pregnancy, was induced by the administration of clomiphene. In the later stages of pregnancy, an increase in the dosage of vasopressin was necessary to achieve a satisfactory control of the symptoms of diabetes insipidus. Labour was induced before the estimated date of confinement by the intravenous administration of oxytocin and an intra-partum haemorrhage necessitated delivery by the lower-segment caesarean section. The post-partum period was uneventful. Lactation was suppressed on request from the patient.

摘要

一名患有尿崩症和甲状腺功能减退症的患者出现无排卵月经周期。通过服用克罗米芬诱导排卵,并随后怀孕。在妊娠后期,需要增加血管加压素的剂量以实现对尿崩症症状的满意控制。在预计分娩日期前,通过静脉注射催产素诱导分娩,产时出血需要通过下段剖宫产进行分娩。产后情况平稳。应患者要求抑制了泌乳。

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