Hardisty C A, Munro D S
Br Med J (Clin Res Ed). 1983 Mar 19;286(6369):934-5. doi: 10.1136/bmj.286.6369.934.
Activities of serum long acting thyroid stimulator protector were measured in a series of nine pregnancies in eight mothers who had Graves' disease, one of whom had been successfully treated by surgery. In all but two instances the activities tended to decline as pregnancy progressed. After delivery activities rose in three out of five patients in whom these had disappeared in pregnancy and, as this occurred, the patients relapsed. In the two patients whose activities did not decline thyrotoxicosis persisted throughout pregnancy and after delivery. None of the nine babies in this study suffered from neonatal thyrotoxicosis because maternal activities of the thyroid stimulator protector, though high enough to induce Graves' disease in adults, were not above the threshold for the induction of thyroid overactivity in neonates.
对8名患有格雷夫斯病的母亲的9次妊娠进行了血清长效甲状腺刺激物保护剂活性的测定,其中1名母亲已通过手术成功治疗。除两例情况外,随着妊娠进展,活性往往会下降。分娩后,5名在妊娠期间活性消失的患者中有3名活性升高,随着这种情况的发生,患者复发。在另外两名活性未下降的患者中,甲状腺毒症在整个妊娠期间及分娩后持续存在。本研究中的9名婴儿均未患新生儿甲状腺毒症,因为母体甲状腺刺激物保护剂的活性虽然高到足以在成人中诱发格雷夫斯病,但未超过诱发新生儿甲状腺功能亢进的阈值。