希恩综合症的诊断：迟来总比没有好。

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI:10.4103/jmh.jmh_66_24

Aakash Pandey, Sagar Mallappa Sindagi, Harshita Singh, Paridhi Singhal, Priya Bansal, Motilal Negi

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引用次数: 0

摘要

一名中年女性因疲劳、情绪低落、四肢浮肿和面部浮肿前来就诊。在详细询问病史后，她还抱怨自己近十年来嗜盐、继发性闭经和性欲减退。检查发现她患有泛垂体功能减退症。她开始接受适当的激素治疗，症状在两周内迅速缓解。希恩综合征可能是急性发作，也可能是慢性发作。症状可能是微弱的，如疲劳，也可能是明显的，如低血压和晕厥。高度怀疑 Sheehan's 综合征是及时治疗的关键，对保护患者的生活质量大有裨益。

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A Diagnosis of Sheehan's Syndrome: Better Late Than Never.

A middle-aged woman presented with history of fatigue, low mood, swelling of limbs, and facial puffiness. On detailed history taking, she also complained of salt craving, secondary amenorrhea, and loss of libido for almost a decade. Investigations revealed pan-hypopituitarism. She was started on appropriate hormonal therapy which saw a rapid resolution of symptoms within 2 weeks. Sheehan's syndrome may have an acute presentation or chronic. The symptoms may be subtle like fatigue or overt like hypotension and syncope. A high degree of suspicion of Sheehan's syndrome is essential for its timely management, and goes a long way in preserving the quality of life.

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来源期刊

Journal of Mid-life Health Social Sciences-Health (social science)

CiteScore

1.70

自引率

9.10%

发文量

审稿时长

43 weeks

期刊介绍： Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.