Lightner E S, Allen H D, Loughlin G
Am J Dis Child. 1977 Jan;131(1):68-70. doi: 10.1001/archpedi.1977.02120140070012.
Congestive heart failure in neonatal thyrotoxicosis is attributed to sympathetic overstimulation of the myocardium with resulting high-output cardiac failure. An additional case of neonatal thyrotoxicosis with congestive heart failure is discussed; three possible causes (thyrotoxicosis, maternal propranolol therapy, and ventricular septal defect) were present. Along with the usual procedures, the echocardiogram is of value in separating these factors. In addition, we discuss the potential dangers to the newborn of a mother receiving long-term propranolol hydrochloride therapy during pregnancy.
新生儿甲状腺毒症所致的充血性心力衰竭归因于交感神经对心肌的过度刺激，进而导致高输出量心力衰竭。本文讨论了另一例伴有充血性心力衰竭的新生儿甲状腺毒症病例；该病例存在三种可能病因（甲状腺毒症、母亲使用普萘洛尔治疗以及室间隔缺损）。除常规检查外，超声心动图对于区分这些因素具有重要价值。此外，我们还讨论了孕期接受长期盐酸普萘洛尔治疗的母亲所生新生儿面临的潜在风险。
