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产后大出血导致垂体前叶功能低落合并后叶功能不全者很少见,现将我院遇到1例报道如下。产妇23岁,因产后3小时胎盘不剥离,阴道大流血2小时,量约1100ml,伴剧烈头痛,昏倒一次,于1985年11月20日急诊入院。检查:T35.5℃,P120次/分,细弱,R30次/分,Bp80/60mmHg。急重病容,神志晃忽,面色苍白,四肢厥冷。心肺正常,肝脾未触及,宫底平脐,阴道有少量暗红色血液流出。胎盘滞留于宫腔,大部分未剥离。化验:Hb7.5g,RBC251万/mm~3,WBC37000/mm~3,N80％,CO_2结合力39.6％,诊断:产后胎盘滞留,失血性休克。当即抗休克,输液2000ml,输血610ml,人工剥离胎盘。术
Postpartum hemorrhage led to anterior pituitary dysfunction with posterior leaflet insufficiency are rare, now I met a hospital reported the following. Maternal age 23 years, 3 days postpartum placenta does not peel, vaginal bleeding for 2 hours, the amount of about 1100ml, with severe headache, fainting once, on November 20, 1985 emergency admission. Check: T35.5 ℃, P120 beats / min, thin, R30 beats / min, Bp80 / 60mmHg. Severe illness, consciousness slips, pale, extremities Jueleng. Cardiopulmonary normal, liver and spleen did not touch the uterus at the end of Palace, a small amount of dark red vagina blood outflow. Placenta stranded in the uterine cavity, most did not peel. Laboratory: Hb7.5g, RBC251 / mm ~ 3, WBC37000 / mm ~ 3, N80%, CO_2 binding force 39.6%, diagnosis: postpartum placental retention, hemorrhagic shock. Immediate anti-shock, infusion 2000ml, blood transfusion 610ml, manual dissection of the placenta. Surgery