产后垂体机能不全(sheehan氏综合征)主要因产后大出血所致的垂体供血不足导致垂体坏死而出现垂体前叶机能减退,产前阴道反复大出血引起垂体前叶机能减退及垂体性昏迷少见报导,现将我院收治一例报告如下: 患者29岁,孕3产2,住院号2285,因产后8天不省人事鼾睡4小时于1989年1月22日3时急诊入院。患者于8天前在家旧法接生臀位分娩一女婴(存活),产时产后出血不多,产后一般情况良好。从孕7个月始阴道反复无痛性大出血4～5次(每次半痰盂),均未治疗而愈,第一次出血时曾在外院B超检查提示“部分性前置胎盘”。产后第二天感两颞部疼痛厉害,乡医给三付中药服后好转,于元月21日23时突感胸部不适,心 Postpartum pituitary insufficiency (sheehan’s syndrome) is mainly due to postpartum hemorrhage due to pituitary insufficiency leading to pituitary necrosis and hypopituitarism, pre-natal vaginal bleeding caused by anterior pituitary dysfunction and pituitary coma rarely reported, now The hospital admitted to a case report as follows: Patient 29 years old, pregnant 3 birth 2, hospital number 2285, 8 days postpartum unconscious snoring sleep 4 hours on January 22, 1989 3:00 emergency admission. The patient delivered a baby girl (survived) at a breech birth 8 years earlier at home, with few postpartum hemorrhages and generally good postpartum. From the first 7 months of pregnancy vaginal repeatedly painless bleeding 4 to 5 times (each half spittoon), were not treated and more, the first time hemorrhage in the hospital B-ultrasound prompted “partial placenta previa.” Feeling the second day postpartum two severe pain in the temple, the township doctors to improve the three to pay after the traditional Chinese medicine service, at 23 o’clock on January 21 suddenly felt chest discomfort, heart