Chinese Medical Sciences Journal ›› 2020, Vol. 35 ›› Issue (1): 95-100.doi: 10.24920/003574

• 病例报告 • 上一篇    下一篇

急性胰腺炎合并席汉氏综合征:1例病例报道并文献复习

刘大晟1,刘丽2,甘峰3,吴先林4,叶刚5,*()   

  1. 1广东省中医院血管甲状腺外科,广州 510120
    2暨南大学附属第一医院校门诊部,广州 510632
    3中山大学化学学院,广州 510275
    4中西医结合胰腺病诊治中心,广州 510632
    5消化内科,广州 510632
  • 收稿日期:2019-05-18 出版日期:2020-03-31 发布日期:2020-02-29
  • 通讯作者: 叶刚 E-mail:dr.yegang@qq.com

Acute Pancreatitis Complicated by Sheehan's Syndrome: A Case Report and Literature Review

Liu Dasheng1,Liu Li2,Gan Feng3,Wu Xianlin4,Ye Gang5,*()   

  1. 1Department of Vascular and Thyroid Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
    2Outpatient Department, Guangzhou 510632, China
    3School of Chemistry and Chemical Engineering, Sun Yat-Sen University, Guangzhou 510275, China
    4Center for Diagnosis and Treatment of Pancreatic Disease, Guangzhou 510632, China
    5Department of Gastroenterology, The First Affiliated Hospital of Jinan University, Guangzhou 510632, China
  • Received:2019-05-18 Published:2020-03-31 Online:2020-02-29
  • Contact: Ye Gang E-mail:dr.yegang@qq.com

摘要:

44岁女性因持续上腹部疼痛2天和意识障碍7小时被转入暨南大学附属第一医院ICU,入院诊断为严重急性坏死性胰腺炎(高甘油三酯血症型)并发多器官功能障碍。CT检查结果仅提示小面积坏死胰腺炎,与临床表现不符合,结合患者全身毛发稀少、产后大出血既往史、及激素检查结果,患者被诊断为希汉氏综合症和垂体功能危象。给予激素替代治疗之后,患者病情迅速好转。

关键词: 急性胰腺炎, 席汉氏综合症, 垂体危象, 高甘油三酯血症

Abstract:

A 44-year-old woman was transferred to the ICU of the First Affiliated Hospital of Jinan University for 2 days of persistent epigastric pain and 7 hours of unconsciousness. Her admission diagnosis was severe acute necrotizing pancreatitis (hypertriglyceridemia type) with multiple organ dysfunctions. The results of CT revealed a small area of necrotizing pancreatitis, which was not consistent with the severe clinical manifestations. Considering lack of hair and history of postpartum hemorrhage, hormone examination was carried out. According to the results of the examination, she was further diagnosed as Sheehan’s syndrome and pituitary crisis. After hormone replacement therapy, her condition improved rapidly.

Key words: acute pancreatitis, Sheehan's syndrome, pituitary crisis, hypertriglyceridemia

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