Wieland R G, Wieland J M
Obstet Gynecol. 1985 Mar;65(3 Suppl):58S-59S.
Isolated adrenocorticotropic hormone (ACTH) deficiency was documented after cesarean delivery in a patient with type I diabetes. A preceding severe headache, subsequent declining insulin requirements, and hypotension are consistent with pituitary infarction in a patient without computed tomography evidence of a pituitary tumor. Antepartum incomplete pituitary infarction with isolated ACTH deficiency is an unusual but potentially catastrophic complication of the pregnant diabetic.
一名I型糖尿病患者剖宫产术后被诊断为孤立性促肾上腺皮质激素（ACTH）缺乏。患者先前出现严重头痛，随后胰岛素需求量下降以及血压降低，这些表现与未发现垂体肿瘤计算机断层扫描证据的垂体梗死相符。产前发生不完全性垂体梗死伴孤立性ACTH缺乏是妊娠糖尿病一种罕见但可能具有灾难性的并发症。
