Collins M L, O'Brien P, Cline A
Obstet Gynecol. 1979 Mar;53(3 Suppl):16S-17S.
The first known case of obstetric shock followed by diabetes insipidus without anterior pituitary deficiency is presented. A patient developed extreme thirst and polyuria after massive bleeding and prolonged shock due to placenta previa percreta with bladder invasion. Evaluation confirmed diabetes insipidus sensitive to vasopressin administration. Anterior pituitary deficiency could not be identified, either acutely or 6 months later.
本文报告了首例产后休克继发尿崩症且无垂体前叶功能减退的病例。一名因穿透性前置胎盘侵犯膀胱导致大量出血和长时间休克的患者,在产后出现极度口渴和多尿。评估证实该患者的尿崩症对血管加压素治疗敏感。无论是在急性期还是6个月后,均未发现垂体前叶功能减退。