Laidler P, Pieterse A S, Pounder D J
Forensic Sci Int. 1981 Sep-Oct;18(2):169-74. doi: 10.1016/0379-0738(81)90156-0.
A 38-year-old diabetic woman developed hyponatraemia and fatal non-ketotic coma after elective cholecystectomy. At the autopsy, it was revealed that the immediate cause of death was cerebral oedema with secondary pontine haemorrhage. The cerebral oedema was associated with severe hyponatraemia and atrophy of the endocrine organs, including the adrenal glands. Biochemical analysis of serum taken immediately before death indicated that the primary defect was pituitary insufficiency, a recognised but rare complication of diabetes.
一名38岁的糖尿病女性在择期胆囊切除术后出现低钠血症和致命的非酮症昏迷。尸检显示，直接死因是脑水肿继发脑桥出血。脑水肿与严重低钠血症及包括肾上腺在内的内分泌器官萎缩有关。死亡前即刻采集的血清生化分析表明，主要缺陷是垂体功能不全，这是糖尿病一种已被认识但罕见的并发症。
