{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T18:26:24Z","timestamp":1743791184827},"reference-count":18,"publisher":"Akademiai Kiado Zrt.","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,3,1]]},"abstract":"<jats:p>A szerz\u0151k egy Basedow\u2013Graves-k\u00f3r miatt kor\u00e1bban thyreoidectomi\u00e1n \u00e1tesett, kezeletlen anya korasz\u00fcl\u00f6ttj\u00e9nek eset\u00e9t ismertetik. Gondozatlan terhess\u00e9gb\u0151l magzati tachycardia, fenyeget\u0151 intrauterin asphyxia miatt s\u00fcrg\u0151s cs\u00e1sz\u00e1rmetsz\u00e9ssel sz\u00fcletett a 33. h\u00e9tnek megfelel\u0151 \u00e9retts\u00e9g\u0171, 1350 gramm s\u00faly\u00fa, dysmaturus (tests\u00falypercentil &lt;10), nagy nyaki strum\u00e1val b\u00edr\u00f3 korasz\u00fcl\u00f6tt. Az \u00fajsz\u00fcl\u00f6tt respiratoricus el\u00e9gtelens\u00e9g miatt konvencion\u00e1lis \u00e9s magas frekvenci\u00e1s g\u00e9pi l\u00e9legeztet\u00e9sben r\u00e9szes\u00fclt, s\u00falyos tachycardia (&gt;180\/perc), cardialis decompensatio miatt b\u00e9ta-blokkol\u00f3, digoxin- \u00e9s dobutaminter\u00e1pi\u00e1t ig\u00e9nyelt. Kivizsg\u00e1l\u00e1sa sor\u00e1n cardiomegalia, pericardialis folyad\u00e9kgy\u00fclem, s\u00falyos t\u00fcd\u0151hypoplasia, mitralis \u00e9s tricuspidalis insufficientia, hepatosplenomegalia igazol\u00f3dott. A pajzsmirigy-szabadhormonok szintje t\u00f6bbsz\u00f6r\u00f6sen meghaladta a referencia\u00e9rt\u00e9ket (fT4: &gt; 6 ng\/dl, fT3: &gt; 30 pg\/ml), a TSH-szint ugyanakkor 0 volt. L\u00e9gz\u00e9st\u00e1mogat\u00e1st 7, kering\u00e9st\u00e1mogat\u00e1st 10 napig ig\u00e9nyelt, propranolol- mellett K-jodid-kezel\u00e9sben r\u00e9szes\u00fclt. Tachycardi\u00e1ja m\u00e9rs\u00e9kl\u0151d\u00f6tt, a b\u00e9ta-blokkol\u00f3 kezel\u00e9st cs\u00f6kkentett adagban kapta tov\u00e1bb, pajzsmirigyhormonszintjei fokozatosan a norm\u00e1lis tartom\u00e1nyba ker\u00fcltek. A szerz\u0151k felh\u00edvj\u00e1k a figyelmet arra, hogy a Basedow\u2013Graves-k\u00f3rban szenved\u0151 anya \u00fajsz\u00fcl\u00f6ttj\u00e9n\u00e9l jelent\u0151s s\u00falybeli, n\u00f6veked\u00e9sbeli elmarad\u00e1s, s\u00falyos kering\u00e9si el\u00e9gtelens\u00e9g, thyreotoxicosis t\u00fcnetei alakulhatnak ki, \u00e9s hangs\u00falyozz\u00e1k az anyai hormon-, valamint antitestszintek nyomon k\u00f6vet\u00e9s\u00e9nek jelent\u0151s\u00e9g\u00e9t.<\/jats:p>","DOI":"10.1556\/oh.2010.28757","type":"journal-article","created":{"date-parts":[[2010,3,16]],"date-time":"2010-03-16T01:04:48Z","timestamp":1268701488000},"page":"509-512","source":"Crossref","is-referenced-by-count":2,"title":["Severe circulatory insufficiency in a patient with neonatal hyperthyroidism"],"prefix":"10.1556","volume":"151","author":[{"given":"Be\u00e1ta","family":"Szal\u00f3czi","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. 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