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席汉综合征伴全骨髓再生障碍:激素替代治疗的长期结果

Sheehan's syndrome with complete bone marrow aplasia: long-term results of substitution therapy with hormones.

作者信息

Ferrari E, Ascari E, Bossolo P A, Barosi G

出版信息

Br J Haematol. 1976 Aug;33(4):575-82. doi: 10.1111/j.1365-2141.1976.tb03576.x.

DOI:10.1111/j.1365-2141.1976.tb03576.x
PMID:827305
Abstract

A case of Sheehan's syndrome with pancytopenia and bone marrow aplasia is presented. The diagnosis was made 6 years after an ante-partum haemorrhage. The presenting feature was an anaemia unresponsive to usual therapy. Hormonal therapy alone (cortisone and thyroid extract with triiodothyronin, oestrogen and progestogen given sequentially) produced full haematological recovery, which has continued for 2 years since the treatment was begun.

摘要

本文报告一例席汉综合征合并全血细胞减少和骨髓再生障碍的病例。诊断是在产后出血6年后做出的。主要表现为对常规治疗无反应的贫血。单纯激素治疗(依次给予可的松、甲状腺提取物加三碘甲状腺原氨酸、雌激素和孕激素)使血液学完全恢复,自开始治疗以来已持续2年。

相似文献

1
Sheehan's syndrome with complete bone marrow aplasia: long-term results of substitution therapy with hormones.席汉综合征伴全骨髓再生障碍:激素替代治疗的长期结果
Br J Haematol. 1976 Aug;33(4):575-82. doi: 10.1111/j.1365-2141.1976.tb03576.x.
2
Sheehan's syndrome associated with pancytopenia due to marrow aplasia; full recovery with hormone replacement therapy.希恩综合征伴骨髓再生障碍所致全血细胞减少;激素替代疗法后完全康复。
Int J Clin Pract. 2004 May;58(5):533-5. doi: 10.1111/j.1368-5031.2004.00059.x.
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Sheehan's syndrome with pancytopenia--complete recovery after hormone replacement (case series with review).席汉综合征伴全血细胞减少——激素替代治疗后完全康复(病例系列及综述)
Ann Hematol. 2010 Mar;89(3):305-8. doi: 10.1007/s00277-009-0804-9. Epub 2009 Aug 21.
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Hematological response of pancytopenia to glucocorticoids in patients with Sheehan's syndrome.希恩氏综合征患者全血细胞减少对糖皮质激素的血液学反应。
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[Endocrine-induced panmyelophthisis in puerperal anterior pituitary gland insufficiency].
Med Klin. 1967 Apr 28;62(17):678 passim.
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Case of complete recovery of pancytopenia after treatment of hypopituitarism.垂体功能减退症治疗后全血细胞减少完全恢复的病例。
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Hormones and the bone marrow: panhypopituitarism and pancytopenia in a man with a pituitary adenoma.激素与骨髓:一名垂体腺瘤男性患者的全垂体功能减退和全血细胞减少症
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Diagnosis Delayed but not Denied - Sheehan's syndrome.诊断延误但未被忽视——席汉综合征
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[Various aspects of the clinical picture and therapy of Sheehan's syndrome].
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引用本文的文献

1
Hormones and the bone marrow: panhypopituitarism and pancytopenia in a man with a pituitary adenoma.激素与骨髓:一名垂体腺瘤男性患者的全垂体功能减退和全血细胞减少症
J Gen Intern Med. 2015 May;30(5):692-6. doi: 10.1007/s11606-014-3161-x.
2
Recurrent symptomatic hypoglycaemia with pancytopenia as a delayed presentation of Sheehan's syndrome with complete recovery after hormone replacement.复发性症状性低血糖伴全血细胞减少,为席汉综合征的延迟表现,激素替代治疗后完全康复。
BMJ Case Rep. 2013 Nov 21;2013:bcr2013009014. doi: 10.1136/bcr-2013-009014.
3
Sheehan's syndrome with pancytopenia: a case report and review of the literature.
席汉综合征伴全血细胞减少症:一例报告并文献复习
J Med Case Rep. 2011 Oct 3;5:490. doi: 10.1186/1752-1947-5-490.
4
Prevalence of hematological abnormalities in patients with Sheehan's syndrome: response to replacement of glucocorticoids and thyroxine.席汉氏综合征患者血液学异常的发生率:糖皮质激素和甲状腺素替代治疗的反应。
Pituitary. 2011 Mar;14(1):39-43. doi: 10.1007/s11102-010-0255-2.
5
Hypopituitarism and anemia: effect of replacement therapy with hydrocortisone and/or levothyroxine.垂体功能减退症与贫血:氢化可的松和/或左甲状腺素替代治疗的效果
J Endocrinol Invest. 2005 Jun;28(6):528-33. doi: 10.1007/BF03347241.