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诊断延误但未被忽视——席汉综合征

Diagnosis Delayed but not Denied - Sheehan's syndrome.

作者信息

Thyagaraj V, Kumar M J V

机构信息

Department of Medicine, MS Ramaiah Medical College, Bangalore, Karnataka, India.

St. Joseph Hospital, Dindigul, Tamil Nadu, India.

出版信息

JNMA J Nepal Med Assoc. 2015 Jan-Mar;53(197):31-3.

PMID:26983045
Abstract

Sheehan's syndrome is a rare complication of postpartum hemorrhage. With advancement in obstetric care, Sheehan's syndrome has become uncommon except in developing countries. Here, we report a patient with Sheehan's syndrome who escaped diagnosis for 22 years and presented with life threatening complications. This patient also had certain unusual features of Sheehan's syndrome like pancytopenia and renal failure. A high index of suspicion is necessary in diagnosing such patients.

摘要

席汉综合征是产后出血的一种罕见并发症。随着产科护理水平的提高,席汉综合征已变得不常见,不过在发展中国家除外。在此,我们报告一例席汉综合征患者,该患者在22年里一直未被诊断出来,并且出现了危及生命的并发症。该患者还具有席汉综合征的某些不寻常特征,如全血细胞减少和肾衰竭。对于诊断此类患者,需要高度的怀疑指数。

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