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先天性肾上腺皮质增生症21羟化酶缺陷症合并妊娠的临床及生化特点
引用本文:卢琳,曾正陪,陆召麟,童安莉,陈适,王永慧,付春莉,陶红,张波. 先天性肾上腺皮质增生症21羟化酶缺陷症合并妊娠的临床及生化特点[J]. 内科急危重症杂志, 2010, 16(1): 13-16
作者姓名:卢琳  曾正陪  陆召麟  童安莉  陈适  王永慧  付春莉  陶红  张波
作者单位:1. 中国医学科学院,北京协和医学院北京协和医院,卫生部内分泌重点室验室,北京,100730
2. 北京安贞医院
3. 中日友好医院
摘    要:
目的:分析21OHD女性患者妊娠及其妊娠期间的临床生化特点。方法:对来我院就诊的88例21OHD育龄期女性患者调查其妊娠分娩的情况。结果:在此期间就诊的女性已婚确诊21OHD患者为54名,19名患者共妊娠34次,其中活产婴儿16个,自然流产9次。新生儿男性5例,女性11例。妊娠后血17羟孕酮升高倍数的中位数为8.06倍,6例患者妊娠后改变了糖皮质激素的用法。结论:21OHD患者的妊娠率下降,妊娠期间调整糖皮质激素用法需要个体化。

关 键 词:先天性肾上腺皮质增生  21羟化酶缺陷症  妊娠  

Clinical and Biochemical Features of Pregnant Women With Congenital Adrenal Hyperplasia Due to 21-hydroxylase Deficiency
LU Lin,ZENG Zhengpei,LU Zhaolin,et al.. Clinical and Biochemical Features of Pregnant Women With Congenital Adrenal Hyperplasia Due to 21-hydroxylase Deficiency[J]. Journal of Internal Intensive Medicine, 2010, 16(1): 13-16
Authors:LU Lin  ZENG Zhengpei  LU Zhaolin  et al.
Affiliation:LU Lin,ZENG Zhengpei,LU Zhaolin,et al.Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Key lab of Ministry of Health,Beijing 100730,China
Abstract:
Objective:To investigate the clinical and biochemical features of the pregnant women with the 21-hydroxylase deficiency (21OHD).Methods:The history of pregnancy and delivery were reviewed in 88 female patients with 21 OHD.Results:There were 54 married women were confirmed with 21 OHD.There were 34 pregnancies among 19 female patients,only 16 were normal deliveries with 11 healthy girls and 5 healthy boys.Spontaneous abortion was observed in 9 pregnancies.The median of serum 17 alpha-hydroxyprogesterone was ...
Keywords:Congenital adrenal hyperplasia Deficiency of 21 hydroxylase Pregnancy  
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