妊娠合并甲状腺功能亢进孕期的临床处理--附26例分析

对象我院１９８４年１月～１９９８年１０月收治的２６例妊娠合并甲亢的患者，根据临床表现及ＴＴ４水平将患者分为轻、中和重度。轻度在医生严密监测下暂停甲状腺药物；对中度及其以上者给予抗甲状腺药物治疗。待病情控制后逐渐减量，以每１～２周递减１/３～１/２量，至控制症状的最小剂量为维持量，使孕妇处于轻度甲亢水平，计划分娩前２～３ 周停约。妊娠合并甲亢的孕妇在医生指导下合理用药一般能平稳度过孕期和分娩期，对母儿

Clinical Treatment of Pregnancy Complicated by Hyperthyroidism during Gestation--26 Cases Analysis

Twenty-six cases with pregnancy complicated by hyperthyroidism admitted from January 1984 to October 1998 were divided into slight,mild and serious groups by clinical presentation and TT4 level of patients. Methods:Medicine of antithyroid could not be given temporarily to slight cases. Mild patients needed medication until symptoms being controlled, and then the dosage was reduced by 1/3 to 1/2 each 1 to 2 weeks till the least maintaining dose. Antithyroid medica-tion must be stopped before planning delivery. Results: It is possible to make the gestation and delivery safe by appropriate antithyroid medication for patients with pregnancy complicated by hyperthyroidism. The medication had no side effects to mother and infant.