摘要
目的：了解阿狄森病合并妊娠的临床表现、治疗方法及对母婴预后的影响。方法：对１９４９年～１９９４年我院阿狄森病合并妊娠６例进行回顾性资料分析。结果：６例患者中，５例患者孕期、产时、产后经过激素替代治疗，分娩结局良好；１例患者孕期无任何主诉，未引起临床医生足够重视，孕期、产时及产后均未采用激素治疗导致产后阿狄森危象而死亡。结论：在阿狄森病合并妊娠及肾上腺功能急性失代偿时，激素替代治疗是最重要的治疗手段。对以往有肾上腺皮质大部切除术后合并妊娠的患者应予特别注意，即使无任何症状，也应加用激素治疗。分娩方式应采用最简单的阴道分娩；如手术产则应以产科指征为主。
Objective:ToreviewsixcasesofpregnancywithAddison′sdiseaseatObstetricsandGynecologyHosptial,ShanghaiMedicalUniversityfrom1949to1994.Method:Thisisaclinicalretrospectiveanalysis.Fiveofthe6patientsweretreatedwithhormonereplacementtherapy,andtheremainingonereceivednohormonetreatmentduetolackofsymptomsduringpregnancyandneglectofpreviousadrenalsurgerybyobstetricians.Results:ThepatientreceivednotreatmentoccurredAddisoniancrisisanddiedsoonafterdelivery.Theotherfivepatientshadsmoothcourseofdeliveryandpostpartumperiod.Conclusions:HormonereplacementtherapyisimportantforpatientswithAddison′sdiseaseinpregnancyespecialyforacutedecompensationofadrenalfunction.Pregnantwomenwithhistoryofadrenalsurgeryshouldbemonitoredcarefulyevenwithoutanysymptomsandhormonetreatmentisnecessary.Vaginaldeliveryisencouragedunlessthereisobstetricindication.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1996年第4期226-228,共3页
Chinese Journal of Obstetrics and Gynecology
