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我院1982年1月至1990年12月间共收治席汉氏综合征66例,其中误诊41例,现分析如下:临床资料一、一般情况:就诊年龄28～55岁,平均36.5岁。经产妇37例,初产妇4例。病程7个月～25年,平均11.2年。误诊时间短者2年,长者19年,平均5.9年。二、起病诱因:有产后大出血史40例,另1例有产后感染史。三、主要症状和体征:41例均有产后无乳或乳汁明显减少,闭经或月经稀少,性欲消失或减退。39例畏寒、纳差、精神萎糜。37例眉毛及头发稀疏,阴腋毛脱落。36例乳房、宫体及外阴萎缩。33例低血压。四、实验室检查:23例测24小时尿17羟类固醇和17酮类固醇,17羟类固醇3.9～10.7μmol/24h尿(正常值5.5～22.1μmol/24h尿);17酮类固醇7.6～15.4μmol/
Our hospital from January 1982 to December 1990 were treated and treated 66 cases of Henley’s syndrome, of which 41 cases were misdiagnosed, are analyzed as follows: Clinical data First, the general situation: Visit the age of 28 to 55 years, mean 36.5 years. After the maternal 37 cases, 4 cases of primipara. Duration of 7 months to 25 years, an average of 11.2 years. Misdiagnosis time is short 2 years, elderly 19 years, an average of 5.9 years. Second, the onset of incentives: a history of postpartum hemorrhage in 40 cases, another case of postpartum infection history. Third, the main symptoms and signs: 41 cases of postpartum were no milk or milk decreased significantly, amenorrhea or menstruation is rare, loss or loss of sexual desire. 39 cases of chills, anorexia, mental wilt. 37 cases of eyebrows and hair sparse, Yin armpit off. 36 cases of breast, Palace and genital atrophy. 33 cases of hypotension. Fourth, the laboratory tests: 23 cases measured 24 hours urinary 17 and 16 steroid steroids, 17 hydroxysteroid 3.9 ~ 10.7μmol / 24h urine (normal 5.5 ~ 22.1μmol / 24h urinary); 17 ketone steroid 7.6 ~ 15.4μmol /