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分析腺垂体性低血糖患者临床特点,提高对腺垂体性低血糖的诊治水平。方法对我院近年来收治的9例腺垂体性低血糖病例临床表现和腺垂体及相关靶腺激素水平等进行回顾性分析。结果病例皆为席汉综合征病人。春季入院占55.56%、夏季占11.11%、秋季占11.11%、冬季占22.22%。所有病例促性腺激素、性腺激素水平均降低。甲状腺激素、三碘甲状腺原氨酸水平全部低于正常水平,促甲状腺素水平均正常。所有病例均有肾上腺皮质功能不全。误诊率88.89%。结论腺垂体性低血糖易发生在席汉综合征患者,多在寒冷气候发病或病情加重,易发生危象;均存在继发性甲状腺功能减退症和肾上腺皮质功能减退,且容易误诊。
Analysis of pituitary hypoglycemia in patients with clinical features, improve the diagnosis and treatment of pituitary hypoglycemia. Methods A retrospective analysis was performed on the clinical manifestations of 9 cases of hypopituitary adenomyosis and the level of adenohypophysis and related target ghrelin in our hospital in recent years. Results All patients were Xi Han syndrome. 55.56% were hospitalized in spring, 11.11% in summer, 11.11% in autumn and 22.22% in winter. All cases of gonadotropin, gonadal hormone levels were reduced. Thyroid hormone, triiodothyronine levels were lower than normal, thyroid hormone levels were normal. All cases had adrenal insufficiency. Misdiagnosis rate of 88.89%. Conclusions Pituitary hypoglycemia is most likely to occur in patients with Schizophrenia syndrome, and is more likely to be exacerbated or exacerbated by crisis in cold climates. Both have hypothyroidism and adrenal insufficiency and are easily misdiagnosed.