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妊娠合并甲状腺切除术后甲状旁腺功能减退及突发呼吸困难的成功结局。病例报告。

Successful outcome of pregnancy complicated with thyroidectomy-induced hypoparathyroidism and sudden dyspnea. A case report.

作者信息

Furui T, Imai A, Tamaya T

机构信息

Department of Obstetrics and Gynecology, Gifu University School of Medicine, Japan.

出版信息

Gynecol Obstet Invest. 1993;35(1):57-9. doi: 10.1159/000292664.

DOI:10.1159/000292664
PMID:8449436
Abstract

Total thyroidectomy is often accompanied with airway problem and hypoparathyroidism leading to infertility and pregnancy losses, and its effects are thus rarely reported on delivery. A patient with postoperative hypoparathyroidism carried a pregnancy to successful delivery, but suffered uncontrollable hypocalcemia and sudden respiratory distress at spontaneous labor onset. Both the fetal and maternal outcome were good. The acute deterioration in the hypoparathyroidism and airway problem at labor differed from the complications in previously reported cases.

摘要

全甲状腺切除术常伴有气道问题和甲状旁腺功能减退,导致不孕和流产,因此其对分娩的影响鲜有报道。一名术后甲状旁腺功能减退的患者成功妊娠并分娩,但在自然分娩开始时出现了无法控制的低钙血症和突发呼吸窘迫。母婴结局均良好。分娩时甲状旁腺功能减退和气道问题的急性恶化与既往报道病例中的并发症不同。

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