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本文报告33例垂体瘤出血(男15例,女18例,为同期收治垂体瘤的38.4％)。临床表现分为有出血症状及无出血症状两型。有症状型21例,主要为除原垂体瘤症状外合并突然出血症状;无症状型主要为垂体瘤病程进行性加重。临床呈内分泌障碍,头痛,视觉损害,呕吐、眼肌麻痹及意识障碍等。病人诊断的依据是临床症状,实验室及CT检查。31例开颅手术清除血肿及切除肿瘤,术后29例存活,2例死亡,2例因病情危重未手术死亡。对垂体瘤出血的发生率,出血原因,诊断,鉴别诊断及治疗进行了讨论
This article reports 33 cases of pituitary tumor hemorrhage (15 males and 18 females, the same period for the treatment of pituitary tumors 38.4%). Clinical manifestations are divided into two symptoms of bleeding and no symptoms of bleeding. Symptomatic 21 cases, mainly in addition to the original symptoms of pituitary tumor combined with sudden bleeding symptoms; asymptomatic pituitary disease mainly progressive disease. Clinical endocrine disorders, headache, visual impairment, vomiting, ophthalmoplegia and disturbance of consciousness. The basis for the diagnosis of patients is clinical symptoms, laboratory and CT examination. Thirty-one patients underwent craniotomy to remove the hematoma and tumor resection. Twenty-nine patients survived after surgery, two died and two died due to critically ill condition. The incidence of pituitary tumor hemorrhage, bleeding causes, diagnosis, differential diagnosis and treatment were discussed