Department of Vascular and Thyroid Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China.
Outpatient Department, Guangzhou 510632, China.
Chin Med Sci J. 2020 Mar 31;35(1):95-100. doi: 10.24920/003574.
A 44-year-old woman was transferred to the ICU of the First Affiliated Hospital of Jinan University for 2 days of persistent epigastric pain and 7 hours of unconsciousness. Her admission diagnosis was severe acute necrotizing pancreatitis (hypertriglyceridemia type) with multiple organ dysfunctions. The results of CT revealed a small area of necrotizing pancreatitis, which was not consistent with the severe clinical manifestations. Considering lack of hair and history of postpartum hemorrhage, hormone examination was carried out. According to the results of the examination, she was further diagnosed as Sheehan's syndrome and pituitary crisis. After hormone replacement therapy, her condition improved rapidly.
一位 44 岁女性因持续性上腹痛 2 天和昏迷 7 小时转入暨南大学第一附属医院 ICU。入院诊断为重症急性坏死性胰腺炎(高甘油三酯血症型)伴多器官功能障碍。CT 结果显示小范围坏死性胰腺炎,与严重的临床表现不一致。鉴于脱发和产后出血史,进行了激素检查。根据检查结果,进一步诊断为席汉氏综合征和垂体危象。激素替代治疗后,病情迅速改善。