Sheehan H L
Z Gesamte Inn Med. 1988 Aug 1;43(15):407-8.
Hypopituitarism depends on the history of the obstetric cause, on the subsequent amenorrhoea and the usual absence of lactation, on the biochemical abnormalities found later, and on the effect of therapy. Nevertheless, an initial clinical inspection of the untreated patient gives important clues to the diagnosis. Cachexia does not occur in true hypopituitarism, unless there is some intercurrent factor which causes emaciation, such as carcinoma, tuberculosis, ulceration in the alimentary tract etc.
垂体功能减退取决于产科病因史、随后出现的闭经以及通常无泌乳现象、后期发现的生化异常情况以及治疗效果。然而，对未经治疗的患者进行初步临床检查可为诊断提供重要线索。真正的垂体功能减退不会出现恶病质，除非存在某些并发因素导致消瘦，如癌症、结核病、消化道溃疡等。
