Treatment of thyroid storm during pregnancy

doi:10.3877/cma.j.issn.2095-3259.2017.02.003

Abstract

Abstract:

Thyroid storm during pregnancy is very rare. It easily occurs in the pregnancy with untreated or inadequately treated thyrotoxicosis. Its mortality rate reaches 20%. The exact pathophysiology is not well understood, but may relate with the stress state during labor process and perioperative period of caesarean section. The treatment of thyroid storm should be managed by a team consisting of an endocrinologist and maternal-fetal specialist of intensive care unit.

Key words: Hyperthyroidism, Thyroid crisis, Pregnancy, high-risk

Weijie Sun, Ying Gao. Treatment of thyroid storm during pregnancy[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2017, 06(02): 73-78.

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Figures/Tables 1

References 9

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临床表现		评分
体温(℃)		?
?	37.2～37.7	5
?	37.8～38.2	10
?	38.3～38.8	15
?	38.9～39.4	20
?	39.4～39.9	25
?	>40.0	30
中枢神经系统影响		?
?	无	0
?	轻度(烦躁不安)	10
?	中度(谵妄、精神错乱、昏睡)	20
?	重度(抽搐、昏迷)	30
消化系统异常		?
?	无	0
?	中度(腹泻、恶心/呕吐、腹痛)	10
?	重度(不明原因的黄疸)	20
心血管功能异常[心动过速(次/min)]		?
?	90～109	5
?	110～119	10
?	120～129	15
?	130～139	20
?	≥140	25
充血性心力衰竭		?
?	无	0
?	轻度(足部水肿)	5
?	中度(双侧湿啰音)	10
?	重度(肺水肿)	15
房颤		?
?	无	0
?	有	10
诱发因素		?
?	无	0
?	有(手术、感染等)	10

临床表现		评分
体温(℃)		?
?	37.2～37.7	5
?	37.8～38.2	10
?	38.3～38.8	15
?	38.9～39.4	20
?	39.4～39.9	25
?	>40.0	30
中枢神经系统影响		?
?	无	0
?	轻度(烦躁不安)	10
?	中度(谵妄、精神错乱、昏睡)	20
?	重度(抽搐、昏迷)	30
消化系统异常		?
?	无	0
?	中度(腹泻、恶心/呕吐、腹痛)	10
?	重度(不明原因的黄疸)	20
心血管功能异常[心动过速(次/min)]		?
?	90～109	5
?	110～119	10
?	120～129	15
?	130～139	20
?	≥140	25
充血性心力衰竭		?
?	无	0
?	轻度(足部水肿)	5
?	中度(双侧湿啰音)	10
?	重度(肺水肿)	15
房颤		?
?	无	0
?	有	10
诱发因素		?
?	无	0
?	有(手术、感染等)	10

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