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多发性内分泌不足(Multiple endocrrine deficrency)简称MED,是指同一病人同时或先后发生两种以上内分泌功能衰退。此类病例较为罕见,现将本院门诊治疗的二例介绍如下: 例1.患者31岁,已婚。月经不调14年,近半年来怕冷、乏力、食欲差、性欲减退,腰背痛,经量减少,月经周期延长,毛发渐脱落,面部色素加深,婚后3年未孕。现已停经2个月,既往无结核及家族糖尿病史,于1981年11月来本院内分泌门诊诊治。检查:BP80/60mmHg,体重45kg,精神萎糜,两颊部褐色素加深,甲状腺未触及。心肺均正常。肝脾未触及。脉沉细,苔白。妇科检查:阴毛女性分布,已婚未产型,阴道畅,阴道壁皱折少,无分泌物,宫颈光滑,
Multiple endocrine deficitis referred to as MED, refers to the same patient at the same time or after more than two kinds of endocrine function decline. Such cases are relatively rare, now the hospital outpatient treatment of two cases are as follows: 1. Patient 31 years old, married. Irregular menstruation 14 years, nearly six months cold, fatigue, poor appetite, loss of libido, back pain, reduced by the amount of menstrual cycle, hair loss, facial pigmentation deepened, 3 years after marriage is not pregnant. Now menopause 2 months, no previous history of tuberculosis and family history of diabetes, in November 1981 to our hospital endocrine clinic diagnosis and treatment. Check: BP80 / 60mmHg, weight 45kg, spiritual wilt, deepened cheek brown, thyroid not touched. Heart and lung are normal. Liver and spleen not touched. Thin pulse, white coating. Gynecological examination: pubic hair female distribution, married unproductive type, vaginal Chang, less vaginal wall folds, no secretions, cervical smooth,