查詢結果分析
相關文獻
- Primary Hyperparathyroidism in Pregnancy: A Case Report
- Lung Cancer in Pregnancy: Report of Two Cases
- Lactation Promotes the Normalization of Plasma Lipids and Lipoproteins after Delivery in Taiwanese Women
- Spontaneous Uterine Rupture during Pregnancy
- 懷孕週數與低出生體重及極低出生體重嬰兒盛行率之研究
- Calcinosis Cutis Following Extravasation of Calcium Gluconate in Neonates
- 未去勢雄性肉豬含男性脂酮和糞臭素含量影響豬肉腥臭味以及懷孕母豬飼料含葉酸對於繁殖表現之研究報導
- 孕期性生活之文獻探討
- 婦女流產及死胎後之心身適應
- 黃體素應用於懷孕時會引起胎兒畸形嗎?
頁籤選單縮合
題 名 | Primary Hyperparathyroidism in Pregnancy: A Case Report=懷孕中原發性副甲狀腺亢進: 一病例報告與文獻回顧 |
---|---|
作 者 | 謝耀元; 邱燦宏; 張其真; 徐泰彥; 黃純真; 蔡鴻德; | 書刊名 | 中臺灣醫學科學雜誌 |
卷 期 | 3:1 1998.03[民87.03] |
頁 次 | 頁62-66 |
分類號 | 417.346 |
關鍵詞 | 原發性副甲狀腺亢進; 副甲狀腺瘤; 新生兒低血鈣; 懷孕; Primary hyperparathyroidism; Parathyroid adenoma; Neonatal hypocalcemia; Pregnancy; |
語 文 | 英文(English) |
中文摘要 | 懷孕中原發性副甲狀腺亢進屬於極為罕見之狀況同時診斷方面亦具相當之困難性。若無適當之處置對母親及胎兒均易造成嚴重之併發症。 本篇我們報導一併發原發性副甲狀腺亢進之孕婦。於妊娠34週時因下肢疼痛,高血鈣與高副甲狀腺素而入院。放射診斷發現頭骨之骨質硬化性小結節,手指骨亦發現骨質吸收融解之病變,及恥骨之骨折,副甲狀腺腺瘤所引起之副甲狀腺亢進被高度懷疑。生理食鹽水灌注與硫酸鎂使用,卻無法達到有效之高血鈣控制,於懷孕35週時,此孕婦產下一嬰兒並於產後發生新生兒低血鈣現象,產後母親接受核子醫學檢查,發現右下副甲狀腺之位置有高濃度之核子訊號。隨後此孕婦接受副甲狀腺切除,病理報告證實為副甲狀腺腺瘤。本病例中以藥物控制副甲狀腺亢進之孕婦發現療效不良之狀況,暗示著我們,即使處於懷孕末期,實施副甲狀腺切除可能仍屬必要。而新生兒亦應注意防止低血鈣之併發症。而對於高血鈣,腎結石,或不明原因骨折之孕婦,原發性副甲狀腺亢進仍須仔細考慮其可能性。 |
英文摘要 | Primary hyperparathyroidism during pregnancy is a rare disorder. When managed inappropriately, it is associated with significant maternal and fetal morbidity. We present a pregnant woman who presented with hypercalcemia, hyperparathyroidism, and lower leg pain at 34 weeks' gestation. Radiography revealed multiple osteosclerotic nodules of the skull, subperiosteal resorption over the metacarpal bone, and pubic bone fracture. Primary hyperparathyroidism due to parathyroid adenoma was impressed. Normal saline and magnesium sulfate was administered, but was ineffective in controlling the hypercalcemia. At 35 weeks' gestation, she delivered a health baby. However, the infant developed transient hypocalcemia 12 hours postpratum. After calcium supplement, the infant recovered well and was discharged 2 weeks pospartum. Postpartum parathyroid scan of the mother revealed radiotracer accumulation at the inferior right parathyroid level. She underwent parathyroidectomy at 3 weeks post delivery, which confirmed the presence of parathyroid adenoma. In conclusion, in cases of primary hyperparathyroidism during pregnancy, poor response to medical therapy may necessitate parathyroidectomy, even in third trimester. Neonatal hypocalcemia should be close monitored and prevented. The possibility of primary hyperparathyroidism should be considered in pregnant patients presenting with hypercalcemia, nephrolithiasis, or idiopathic bone fracture. |
本系統中英文摘要資訊取自各篇刊載內容。