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自1986年1月至1988年6月,我院收治席汉综合征39例,其中以精神异常为特征者10例,年龄28~59岁,平均37岁。除有产后大出血史及典型垂体前叶功能低下的症状外,临床突出表现为:胡言乱语,哭笑无常、幻觉、骂人、冲动毁物、被害妄想、失眠、抑郁、拒食拒药、违拗等精神异常症状。10例中曾经他院诊断为精神分裂症4例,癔病、神经官能症各2例,脑炎、脑肿瘤各1例。并曾接受奋乃静等有关治疗7~30天,病情无改善。全部患者经激素替代治疗后,精神恢复正常,全身情况改善。随访7例,6例已恢复正常工作。
From January 1986 to June 1988, 39 cases of syndromes were treated in our hospital. Among them, 10 cases were characterized by mental disorders, ranging in age from 28 to 59 years with an average of 37 years. In addition to the history of postpartum haemorrhage and typical hypopituitarism in anterior pituitary symptoms, the clinical manifestations are: nonsense, dumbness and hallucinations, hallucinations, curse, impulsive destruction, victimization, insomnia, depression, refusing to eat drugs, violations and so on. Mental abnormalities. 10 cases had his hospital diagnosed as schizophrenia in 4 cases, hysteria, neurosis in 2 cases, encephalitis, brain tumors in 1 case. And had received perphenazine and other related treatment for 7 to 30 days, no improvement in condition. All patients after hormone replacement therapy, the spirit returned to normal, general condition improved. Follow-up in 7 cases, 6 cases have returned to normal work.