异位妊娠后希汉氏综合征10例分析

Greek Sheehan's syndrome after ectopic pregnancy 10 cases

目的近年来随着异位妊娠发病率增高且年轻化趋势明显,为了预防异位妊娠大出血后席汉氏综合征的发生,探讨其发病相关因素及性激素水平。方法采用用放免法测定下丘瞄一、垂体一、卵巢轴(H-P-O轴)激素测促卵泡素(FSH)、黄体生成素(LH)、催乳索(PRL)、雌二醇(Ez)、雄激素(T),通过与正常对照组比较,对10例患者进行分析。结果席氏综合征中20~30岁占87.5%,腹腔内积血超过800mL占62.5%,有既往怀孕史占58.o%。异位妊娠大出血原因中以入院不及时占92%,余因经济原因等导致贫血未能明显纠正。结论席汉氏综合征患者的性激素水平明显低于正常女性(P<0.01),本文对席汉综合征的预防与治疗进行了探讨。

Objective In recent years, with the increase in the incidence of ectopic pregnancy and younger evident, prevention of ectopic pregnancy bleeding after the occurrence of Sheehan＇s syndrome, to explore its incidence factors and sex hormone levels. Methods A radioimmunoassay determination of the inferior colliculus aiming pituitary an ovarian axis （H-P^O axis） hormones measured promote follicle hormone （FSH）, luteal generated hormone （LH）, prolactin cable （PRL）, estradiol （Ez）, the male hormones （T）, compared with the normal control group of 10 patients were analyzed. Results？Xi＇s syndrome aged 20-30 accounted for 87.5%, the hemoperitoneum exceed 800ml 62.5%, previous pregnancy history accounted for 58. o%. Ectopic pregnancy bleeding causes admission is not timely accounting for 92%, I anemia failed to significantly correct the cause due to economic reasons. Conclusion Sheehan＇s syndrome, sex hormone levels significantly lower than normal women （P0.01）, this article discussed the prevention and treatment of Sheehan＇s syndrome.