糖尿病患者的产前垂体坏死

Antepartum pituitary necrosis in diabetes mellitus.

作者信息

Flynn M D, Cundy T F, Watkins P J

机构信息

Diabetic Department, King's College Hospital, Denmark Hill, London, UK.

出版信息

Diabet Med. 1988 Apr;5(3):295-7. doi: 10.1111/j.1464-5491.1988.tb00991.x.

DOI:10.1111/j.1464-5491.1988.tb00991.x

PMID:2967155

Abstract

Pituitary infarction occurred during pregnancy in two insulin-dependent diabetic patients aged 32 and 33 years. The diagnosis was delayed in each case before being confirmed biochemically and radiologically. A decreasing insulin requirement and recurrent hypoglycaemia made it possible to determine the exact time that pituitary infarction occurred during pregnancy. The clinical features of these cases should alert physicians to the possibility of pituitary infarction in diabetic pregnancy and minimize the delay in diagnosis.

摘要

两名年龄分别为32岁和33岁的胰岛素依赖型糖尿病患者在怀孕期间发生了垂体梗死。在通过生化和放射学检查确诊之前，每例患者的诊断均被延误。胰岛素需求量的减少和反复出现的低血糖使得确定垂体梗死在孕期发生的确切时间成为可能。这些病例的临床特征应提醒医生注意糖尿病孕妇发生垂体梗死的可能性，并尽量减少诊断延误。