论文部分内容阅读
席汉氏综合征是由于垂体前叶激素分泌减少,继之累及甲状腺、肾上腺及性腺皮质。造成多种激素分泌不足,从而产生不同程度的内分泌腺功能减退的表现。本病常见于女性,多由于产时大出血,造成反射性血管痉挛,血管壁损伤,在垂体中形成血栓,缺血性坏死,导致垂体发生继发性萎缩和功能低下。其临床表现多种多样,但却少有引起浆膜腔积液者,以多浆膜腔积液为首发表现者临床更为少见。现将我们所遇2例报告如下: 例1,女,46岁。患者自1990年5月初开始无原因地出现眼睑及下肢浮肿,以后浮肿逐渐延及全身,并感腹部逐日胀大,胀痛,每日尿量及小便次数减少,伴有食欲减退。10月中旬起,觉胸闷、气短,活动后心慌,曾在市某院先后诊为“肾病综合征?”“肝硬化?”并予以相应治疗无效,于1990年11月2日转入我院。既往史:14年前分娩第三胎时出血量较多,产后有少量乳汁分泌,月经稀少,不规则,产后2年
Xi Han’s syndrome is due to reduced anterior pituitary hormone secretion, followed by the involvement of the thyroid, adrenal and gonadal cortex. Resulting in a variety of hormone secretion, resulting in varying degrees of endocrine gland dysfunction performance. The disease common in women, mostly due to intrapartum hemorrhage, resulting in reflex vasospasm, vascular wall injury, the formation of thrombus in the pituitary, ischemic necrosis, resulting in secondary pituitary atrophy and dysfunction. The clinical manifestations varied, but rarely caused by serosal effusion were to more than serous effusion as the first clinical manifestations are more rare. Now we have 2 cases reported as follows: Example 1, female, 46 years old. The patient developed eyelid and lower extremity edema for some reason from the beginning of May 1990. Later edema gradually extended to the whole body. The sensation of the abdomen was swollen, the pain, daily urination and urination decreased accompanied by anorexia. From mid-October, feel chest tightness, shortness of breath, palpitation after the event, had a city hospital diagnosed as “nephrotic syndrome?” “Cirrhosis?” And the corresponding treatment is invalid, on November 2, 1990 into our hospital . Past history: 14 years ago when the third childbirth more blood loss, a small amount of milk secretion after childbirth, menstrual rare, irregular, 2 years postpartum