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患者女,56岁。1987年11月4日入院。17年前分娩大失血,产后无乳、闭经,畏寒乏力。6年后始诊析为席汉氏综合征。用强的松15mg/日,干甲状腺片30mg/日替代治疗,症状缓解。入院前一周胸痛频繁发作,与劳累无关。查体:生命征无异常。颜面虚肿,眉毛稀疏,腋毛、阴毛缺如。心界不大,心音低钝。余无异常。化验:血、尿常规均正常。β脂蛋白827mg/dl,胆固醇300mg/dl,甘油三酯178mg/d1;T_30.4ng/ml(正常值0.8～2.2ng/ml),T_4 16ng/ml(正常值42～125ng/ml)。ECG:STⅡ、Ⅲ、avF,V_(5-6)压低,T_(V_1-V_6)倒置。胸
Female patient, 56 years old. November 4, 1987 admission. 17 years ago, childbirth bleeding, postpartum non-milk, amenorrhea, chills fatigue. Six years after the beginning of diagnosis of Sheehan’s syndrome. With prednisone 15mg / day, dry thyroid tablets 30mg / day alternative treatment, the symptoms ease. Frequent episodes of chest pain a week before admission have nothing to do with exertion. Physical examination: vital signs no abnormalities. Facial swelling, thinning eyebrows, armpit hair, pubic hair missing. Small heart, low heart sound blunt. I no exception. Laboratory: blood, urine are normal. beta lipoprotein 827mg / dl, cholesterol 300mg / dl, triglyceride 178mg / dl; T_30.4ng / ml (normal 0.8 ~ 2.2ng / ml), T_4 16ng / ml (normal 42 ~ 125ng / ml). ECG: ST Ⅱ, Ⅲ, avF, V_ (5-6) down, T_ (V_1-V_6) inversion. chest