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中华产科急救电子杂志 ›› 2023, Vol. 12 ›› Issue (04) : 212 -216. doi: 10.3877/cma.j.issn.2095-3259.2023.04.005

妊娠合并内分泌疾病

胎儿甲状腺疾病的诊断和处理
孙伟杰()   
  1. 100034 北京大学第一医院妇产科
  • 收稿日期:2023-07-26 出版日期:2023-11-18
  • 通信作者: 孙伟杰

Diagnosis and treatment of fetal thyroid disease

Weijie Sun()   

  • Received:2023-07-26 Published:2023-11-18
  • Corresponding author: Weijie Sun
引用本文:

孙伟杰. 胎儿甲状腺疾病的诊断和处理[J/OL]. 中华产科急救电子杂志, 2023, 12(04): 212-216.

Weijie Sun. Diagnosis and treatment of fetal thyroid disease[J/OL]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2023, 12(04): 212-216.

胎儿甲状腺疾病病情复杂且危重,但胎儿甲状腺异常的发病率不高,故临床医生常缺乏诊治经验。本文对相关临床问题进行总结,以提高临床医生对胎儿甲状腺疾病的识别和处置能力。胎儿甲状腺疾病主要见于高危人群,即孕妇甲亢控制不良或存在高滴度促甲状腺激素受体抗体者,胎儿甲状腺肿大是胎儿甲状腺功能异常的直接信号。

The condition of fetal thyroid disease is complex, even critical, and the incidence rate of fetal thyroid abnormalities is not high. Clinicians lack experience in diagnosis and treatment. This review summarizes related clinical problems, to improve clinicians′ ability to identify and deal with fetal thyroid disease. Fetal surveillance should be performed in women who have uncontrolled hyperthyroidism in the second half of pregnancy, and in women with high TRAb levels. Fetal thyroid enlargement is a direct signal of fetal thyroid dysfunction.

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