Kan A K, Calligerous D
St George Hospital, Kogarah, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 1998 May;38(2):224-6. doi: 10.1111/j.1479-828x.1998.tb03009.x.
Hypopituitarism caused by necrosis of the physiologically enlarged pituitary gland of pregnancy following postpartum haemorrhage was first described by Sheehan (1). Although manifestations of the clinical syndrome are most often caused by deficiencies of hormones of the anterior pituitary gland, involvement of the posterior lobe of the pituitary gland although rare has been described (2,3). This is a report of a case of diabetes insipidus developing within 24 hours postpartum in a grand multipara who had an elective lower segment Caesarean section for twins.
希恩(1)首次描述了产后出血后妊娠生理性增大的垂体坏死导致的垂体功能减退。虽然临床综合征的表现最常由垂体前叶激素缺乏引起,但垂体后叶受累虽罕见也有报道(2,3)。本文报告一例多产妇在因双胞胎行选择性下段剖宫产术后24小时内发生尿崩症的病例。