Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
J Clin Anesth. 2011 Aug;23(5):414-7. doi: 10.1016/j.jclinane.2010.09.009. Epub 2011 Jul 8.
Sheehan's syndrome is a well described entity that refers to hypopituitarism with pituitary infarction secondary to postpartum shock or hemorrhage. Antepartum pituitary infarction is a very rare condition that has been reported only in patients with longstanding type 1 diabetes mellitus or uncontrolled gestational diabetes. A case of severe, acute hypopituitarism in the setting of hemorrhagic shock from a gunshot wound is presented. Our case report highlights the importance of including hypopituitarism in the differential diagnosis of a critically ill parturient.
希恩氏综合征是一种描述明确的疾病，指的是由于产后休克或出血导致的垂体梗死引起的垂体功能减退症。产前垂体梗死是一种非常罕见的疾病，仅在长期 1 型糖尿病或未控制的妊娠期糖尿病患者中报道过。本文报告了 1 例因枪伤引起的失血性休克导致严重急性垂体功能减退症的病例。我们的病例报告强调了在危重症产妇的鉴别诊断中包括垂体功能减退症的重要性。
