论文部分内容阅读
目的了解妊娠合并甲状腺功能减退症的诊断、处理及妊娠结局和围产儿情况。方法回顾性分析15例妊娠合并甲状腺功能减退症患者母婴合并症情况。结果 10例患者于孕前未发现甲状腺功能减退在出现病理妊娠后诊断,仅5例孕前及孕早期诊断并接受甲状腺素补充,2例孕中期接受甲状腺素补充。足月妊娠8例,流产2例,死胎3例,早产2例,胎儿生长受限4例,子痫前期6例,剖宫产7例。无新生儿死亡。结论甲状腺功能减退患者在妊娠应给予适当的激素补充治疗,并系统进行产期保健。
Objective To understand the diagnosis, treatment, pregnancy outcome and perinatal condition in pregnancy complicated with hypothyroidism. Methods A retrospective analysis of 15 cases of pregnancy complicated with hypothyroidism maternal and child complications. Results None of the 10 patients were diagnosed with hypothyroidism before pregnancy. Only 5 cases were diagnosed before and during the first trimester and received thyroxine supplementation. Two cases received thyroxine supplementation during the second trimester. Full-term pregnancy in 8 cases, 2 cases of abortion, 3 cases of stillbirth, 2 cases of preterm birth, fetal growth restriction in 4 cases, 6 cases of preeclampsia, cesarean section in 7 cases. No newborn child died. Conclusions Patients with hypothyroidism should be given appropriate hormone replacement therapy during pregnancy, and systematic health care during delivery.