席汉综合征并长QT综合征伴发尖端扭转型室性心动过速一例报道并文献分析  

Sheehan Syndrome with Acquired Long QT Syndrome Complicated by Torsade de Pointes: Report of One Case and Literature Analysis

作　　者：王创畅[1] 吴伟[2] 马培[1] 卿立金[2] 

机构地区：[1]广州中医药大学 [2]广州中医药大学第一附属医院心血管内科

出　　处：《中国全科医学》2013年第17期2051-2052,共2页Chinese General Practice

摘　　要：本文报道1例48岁席汉综合征患者,实验室检查提示甲状腺功能低下,给予异丙肾上腺素,补充甲状腺素等治疗后随访2周无再发。席汉综合征患者可导致性激素、甲状腺激素、肾上腺激素等各种内分泌激素缺乏,与获得性长QT综合征具有一定关系,具体机制可能与心脏黏液性水肿、性激素的性别差异、窦性心动过缓等因素有关。对原因不明的QT间期延长患者应注意查甲状腺、性腺、肾上腺功能,以防漏诊误诊。One case of 48 - year - old Sheehan syndrome patients with hypothyroidism by laboratory examination were given isoprenaline and thyroxin. No recurrence was noted after 2 - week follow - ups. Sheehan syndrome, probably leading to deficiency of sex hormones, thyroid hormones, adrenal hormones and other endocrine hormone, is related, to some extent, to acquired long QT syndrome. Its specific mechanisms may be associated with heart myxedema, gender difference in sex hor-mones, sinus bradycardia＇and other factors. For patients with unexplained prolonged QT intervals, thyroid, gonads, adrenal function should examined to prevent missed diagnoses and misdiagnoses.

关 键 词：垂体功能减退症 长QT综合征 性腺激素类 甲状腺激素类 

分 类 号：R347.5[医药卫生—基础医学]