Gordon C M, Austin D J, Radovick S, Laufer M R
Department of Surgery, Children's Hospital Boston, Massachusetts 02115, USA.
J Pediatr Adolesc Gynecol. 1997 Feb;10(1):35-8. doi: 10.1016/s1083-3188(97)70042-1.
We describe a case of acquired primary hypothyroidism in a prepubertal girl who presented with profound bradycardia, precocious puberty, and severe vaginal bleeding. A pelvic ultrasound revealed markedly enlarged ovaries with numerous cysts. Cystic aspiration, in concert with L-thyroxine therapy, appeared to halt vaginal bleeding, and led to resolution of cysts. This is the first reported case of percutaneous cyst aspiration to treat ovarian hyperstimulation caused by hypothyroidism in a child.
我们描述了一例青春期前女孩获得性原发性甲状腺功能减退症，该女孩表现为严重心动过缓、性早熟和严重阴道出血。盆腔超声显示卵巢明显增大，有许多囊肿。囊肿抽吸联合左甲状腺素治疗似乎止住了阴道出血，并使囊肿消退。这是首例报道的经皮囊肿抽吸治疗儿童甲状腺功能减退症所致卵巢过度刺激的病例。
