■摩尔妊娠是最常见的妊娠滋养细胞疾病。表现为阴道出血,伴有高水平的β-人绒毛膜促性腺激素(β-HCG)。此病例旨在强调将妊娠滋养细胞疾病作为潜在诊断及其严重并发症的重要性。
■一名24岁女性出现呕吐,恶心,也没有阴道出血的主诉.实验室检查表明甲状腺功能亢进是一种并发症,需要进行具有挑战性的术前预防性管理。最初,病人接受了抽吸和刮宫,但以后必须进行全子宫切除术.组织学研究以完全葡萄胎的诊断得出结论。术后随访评估显示高血压值,患者被指定接受进一步的心脏病学评估.
■虽然不常见,磨牙妊娠的并发症包括贫血,严重的心脏窘迫,和甲状腺功能亢进.滋养细胞甲状腺功能亢进是由于分子交叉反应性而导致的β-HCG水平极高的结果。历史,临床检查,还有超声波,除了测量β-HCG水平,都可以帮助诊断磨牙怀孕,但最终的诊断是基于组织病理学和核型研究。管理程序包括膨胀,抽吸和刮宫,子宫切除术.治疗取决于病人的年龄,对未来怀孕的渴望,和发生妊娠滋养细胞瘤的风险。建议进行连续β-HCG测量的随访,以监测可能的并发症。在磨牙妊娠手术之前,获得和维持甲状腺功能正常是挽救生命的程序。甲基咪唑,普萘洛尔,卢戈尔的碘,和氢化可的松都可以用于甲状腺风暴的预防性管理。
UNASSIGNED: Molar pregnancy is the most common type of gestational trophoblastic disease. It manifests as vaginal bleeding, accompanied by high levels of β-human chorionic gonadotropin (β-HCG). This case aims to highlight the importance of considering gestational trophoblastic disease as a potential diagnosis and its serious complications.
UNASSIGNED: A 24-year-old female presented with vomiting, nausea, and no complaint of vaginal bleeding. Laboratory tests indicated hyperthyroidism as a complication requiring challenging preoperative prophylactic management. Initially, the patient underwent suction and curettage, but a total hysterectomy had to be performed later. The histological study concluded with the diagnosis of a complete hydatidiform mole. Post-surgery follow-up evaluations revealed high blood pressure values, and the patient was appointed for further cardiology assessment.
UNASSIGNED: Although uncommon, complications of a molar pregnancy include anaemia, severe cardiac distress, and hyperthyroidism. Trophoblastic Hyperthyroidism is a result of extremely high levels of β-HCG levels due to molecular cross-reactivity. History, clinical examination, and ultrasound, in addition to measuring β-HCG levels, could all help in diagnosing a molar pregnancy, but the definitive diagnosis is based on histopathology and a karyotype study. Management procedures include dilation, suction and curettage, and hysterectomy. The treatment depends on the patient\'s age, desire for future pregnancies, and risk of developing gestational trophoblastic neoplasia. A follow-up with serial β-HCG measurement is recommended to monitor possible complications. Attaining and maintaining euthyroidism is a life-saving procedure before molar pregnancy surgery. Methimazole, Propranolol, Lugol\'s iodine, and hydrocortisone can all be used in the prophylactic management of the thyroid storm.