论文部分内容阅读
患者女性,39岁,因产后持续泌乳、闭经、肥胖伴非凹陷性浮肿6年,于1984年2月29日入院。患者78年2月足月平产一女婴后泌乳持续不退,泌乳量数滴至20ml不等。同时伴闭经,体重由50增至71公斤,伴乏力、少汗、不耐寒、全身轻度浮肿及性欲减退。既往情绪不稳、记忆力减退,经常发作体位性眩晕、出汗等,但无月经紊乱、高血压、头颅外伤或脑膜炎、脑炎等病史。体查:血压120/80mmHg,身高154cm,体重71kg,,皮肤干燥、面容浮肿,均匀肥胖体型。甲状腺正常,双乳房丰满,无肿块,可挤出白色乳汁,其他无特殊。各项检查,包括血电解质、胆固醇、甘油三酯、血清总蛋白、白蛋白与球蛋白比例、肝功能、
Female, 39 years old, continued lactation due to postpartum, amenorrhea, obesity with non-pitting edema for 6 years, on February 29, 1984 admission. Patients in February 78 full-term childbirth after a full-term lactation continued lactation, lactation volume drops to 20ml range. At the same time with amenorrhea, body weight increased from 50 to 71 kg, with fatigue, less sweat, not cold, mild edema and loss of libido. Past emotional instability, memory loss, frequent episodes of vertigo, sweating, etc., but no menstrual disorders, hypertension, head trauma or meningitis, encephalitis and other medical history. Physical examination: blood pressure 120 / 80mmHg, height 154cm, weight 71kg, dry skin, face edema, uniform body size. Thyroid normal, double breast fullness, no lumps, white latex can be extruded, the other no special. Various tests, including blood electrolytes, cholesterol, triglycerides, total serum protein, albumin and globulin ratio, liver function,