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自从Sheehan氏提出产后大出血而有循环虚脱的缺血性坏死引起垂体功能衰退已积累大量有关Sheehan氏综合征垂体功能的资料.但迄今尚无有关无循环虚脱的产后出血妇女在产褥早期垂体促性腺激索分泌功能恢复的报导.本文报告无休克的产后出血量和产后20天垂体前叶促性腺激素分泌功能恢复二者间的关系.在Tokushima大学医院妇产科分娩的26名产妇,依其产后2小时内出血量分成三组:出血量<500g的9名为正常组;出血量在500~1,000g的8名为中度产后出血;而出血量>1,000g的9名为重度产后出血.全部妇女在妊娠前月经周期均正常,
Since Sheehan’s proposed postpartum hemorrhage and ischemic necrosis with circulatory collapse have caused a great deal of pituitary dysfunction in the Sheehan’s syndrome, there has been a great deal of data on the function of the pituitary gland in Sheehan’s Syndrome, but so far there have been no reports of postpartum hemorrhage in women without recurrent parapharynx Gonadal cord secretion recovery report.This paper reports the relationship between the amount of postpartum hemorrhage without shock and the recovery of gonadotropin secretion in the anterior pituitary gland 20 days postpartum.Among the 26 maternal births delivered in the obstetrics and gynecology department of Tokushima University Hospital, The amount of bleeding within 2 hours after childbirth was divided into three groups: 9 of the group of bleeding <500g were normal group; 8 of the 500-1,000g of bleeding volume was moderate postpartum hemorrhage; while 9 of the bleeding amount> 1,000g were severe postpartum hemorrhage All women had normal menstrual cycles before pregnancy,