Isolated impairment of posterior pituitary function secondary to severe postpartum haemorrhage due to uterine rupture.

Adali E; Kucukaydin Z; Adali F; Yildizhan R

首页> 外文期刊>Gynecological endocrinology: the official journal of the International Society of Gynecological Endocrinology >Isolated impairment of posterior pituitary function secondary to severe postpartum haemorrhage due to uterine rupture.

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Isolated impairment of posterior pituitary function secondary to severe postpartum haemorrhage due to uterine rupture.

机译：因子宫破裂导致严重的产后出血继发的垂体后叶功能的个别损害。

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Cranial diabetes insipidus (DI) due to postpartum haemorrhage is an extremely rare clinical event. We describe herein isolated posterior pituitary insufficiency in a 26-year-old woman who had undergone subtotal hysterectomy for severe postpartum haemorrhage because of uterine rupture. The patient experienced polyuria within 6 h postoperatively. DI was suggested by the elevated urine volumes and low urine specific gravity. The diagnosis of DI was confirmed by water deprivation test and vasopressin stimulation test. The anterior pituitary function was within normal limits. A high clinical suspicion is certainly required for the diagnosis of DI in the immediate postpartum period. To rapidly initiate appropriate therapy, the possibility of DI should always be kept in mind while evaluating patients who have polyuria and polydipsia after severe postpartum bleeding. Delay or failure to treat this condition might result in hypovolemic shock.

机译：产后出血导致的颅内尿崩症（DI）是极为罕见的临床事件。我们在这里描述了一名因子宫破裂严重产后大出血而接受了大体子宫切除术的26岁妇女的垂体后叶功能不全。病人在术后6小时内出现多尿。尿量增加和尿比重低提示DI。通过脱水试验和加压素刺激试验证实了DI的诊断。垂体前叶功能在正常范围内。在产后即刻诊断DI无疑需要高度的临床怀疑。为了迅速开始适当的治疗，在评估严重产后出血后有多尿和多饮的患者时，应始终牢记DI的可能性。延误或未能治愈此病可能会导致低血容量性休克。

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《Gynecological endocrinology: the official journal of the International Society of Gynecological Endocrinology》 |2011年第8期|共2页
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Adali E; Kucukaydin Z; Adali F; Yildizhan R;
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1. Isolated impairment of posterior pituitary function secondary to severe postpartum haemorrhage due to uterine rupture. [J] . Adali E, Kucukaydin Z, Adali F, Gynecological endocrinology: the official journal of the International Society of Gynecological Endocrinology . 2011,第8期

机译：因子宫破裂导致严重的产后出血继发的垂体后叶功能的个别损害。
2. Pelvic umbrella pack for refractory obstetric hemorrhage secondary to posterior uterine rupture. [J] . Howard RJ, Straughn JM, Huh WK, Obstetrics and Gynecology: Journal of the American College of Obstetricians and Gynecologists . 2002,第5aPta2期

机译：盆腔伞袋用于继发于子宫破裂的难治性产科出血。
3. Re: The effectiveness and safety of introducing condom‐catheter uterine balloon tamponade for postpartum haemorrhage at secondary level hospitals in Uganda, Egypt and Senegal: a stepped wedge, cluster‐randomised trial [J] . Matsubara Shigeki, Takahashi Hironori, Lefor Alan Kawarai BJOG: an international journal of obstetrics and gynaecology . 2020,第3期

机译：RE：介绍乌干达，埃及和塞内加尔的中学医院产后出血的避孕系统 - 导管子宫铺会的有效性和安全性：阶梯式楔形，集群随机试验
4. FACTORS THAT ENHANCE PITUITARY AND OVARIAN FUNCTIONS IN POSTPARTUM BEEF COWS (NALOXANE, GN-RH, PGF(2), INDOMETHACIN). [D] . CRUZ, LIBERTADO C. 1986

机译：增强产后牛犊中垂体和卵巢功能的因素（纳洛烷，GN-RH，PGF（2），吲哚美辛）。
5. Rare disease: Uterine artery pseudoaneurysm: a rare cause of secondary postpartum haemorrhage following caesarean section [O] . Papa Dasari, Dilip K Maurya, Mariano Mascarenhas 2011

机译：罕见疾病：子宫动脉假性动脉瘤：剖宫产后继发性产后出血的罕见原因
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Isolated impairment of posterior pituitary function secondary to severe postpartum haemorrhage due to uterine rupture.

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