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席汉氏综合征合并尿崩症较为罕见。我们于1982年所见一例,报告如下。患者,女性,39岁,已婚。既往健康。1982年3月第10胎足月引产后阴道大出血持续10h,致神志不清,经抢救后好转。此后无乳,闭经,性欲消失。周身无力,头昏,怕冷、纳差,消瘦。脱发,腋毛,阴毛脱落。曾昏倒过一次。既往无多饮多尿史及肾脏病史和外伤史。于1982年10月2日住院。查体;T36.5℃,P60,BP78/50。面色苍白,眉毛外号脱落,腋毛脱光,双侧乳房萎缩,乳头乳晕色素减退。心肺正常。肝脾未触及、下肢无浮肿。X线检查:蝶鞍大小正常。心电图:肢体导联低电压。妇科检查:阴毛稀少,阴道粘膜萎缩,分泌物少,子宫如拇指大小。
Xi Han’s syndrome combined with diabetes insipidus is rare. We saw an example in 1982, the report is as follows. Patient, female, 39 years old, married. Past health. March 1982, the first 10 full-term vaginal bleeding induced abortion for 10h, caused by confusion, after the rescue improved. After no milk, amenorrhea, loss of libido. Whole body weakness, dizziness, cold, anorexia, weight loss. Hair loss, armpit hair, pubic hair loss. Had fainted once. No past history of polyhydramnios and renal history and trauma history. In October 2, 1982 hospitalization. Physical examination; T36.5 ℃, P60, BP78 / 50. Pale, eyebrow nickname off, armpit hair stripping, bilateral breast atrophy, nipple areola pigment decline. Cardiopulmonary normal. Liver and spleen not touched, lower extremity no edema. X-ray examination: Sella size normal. ECG: Low limb lead voltage. Gynecological examination: sparse pubic hair, vaginal mucosa atrophy, secretions less, such as the size of the uterus thumb.