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席汉(Sheehan)氏综合征并发甲状腺机能亢进症实属罕见,Fajans于1958年报告1例(J Clin Endo-crinol Metab 18:271 1958),国内十年来仅报导1例(中华内科杂志10:617 1982)。现将我们观察的1例介绍如下。女,30岁,住院号343926。因产后闭经、乏力3年,心慌、易饥、消瘦4个月,于1986年7日29日入院。3年前因前置胎盘致产后大出血昏迷,输血1000ml后病情好转。产后无乳汁分泌,至今月经未来潮。明显乏力、怕冷,毛发逐渐脱落,乳房萎缩,性欲明显减退,便秘。曾按“闭经”治疗,用中西药无效。近4个月来明显消瘦,体重由39kg减到29.5kg,心慌,易饥,食量由每餐2两增至4两,多汗,大便每日2～3次。既往史及家族史无特殊。
Sheehan’s syndrome complicated with hyperthyroidism is rare. Fajans reported 1 case in 1958 (J Clin Endo-crinol Metab 18: 271 1958), and only one case was reported in China in the last 10 years (Chinese Journal of Internal Medicine 10: 617 1982). Now we observe the one case described below. Female, 30 years old, hospital number 343926. Due to postpartum amenorrhea, fatigue for 3 years, palpitation, easy hunger, weight loss 4 months, in 1986 7 29 admission. 3 years ago due to placenta previa caused by postpartum hemorrhage coma after the blood transfusion 1000ml condition improved. No postpartum milk secretion, so far the future menstruation tide. Obvious fatigue, fear of cold, hair loss, breast atrophy, loss of libido, constipation. According to “amenorrhea” treatment, with Western medicine invalid. The past four months to significantly weight loss, weight reduced from 39kg to 29.5kg, palpitation, easy to eat, the appetite increased by two meals per two to four two, sweating, stool 2 or 3 times a day. Past history and family history is no special.