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目的:分析急性垂体瘤卒中的风险因素、临床特点、治疗与预后。方法:回顾性分析贵阳市第二人民医院2009年1月至2016年12月经手术治疗的20例急性垂体瘤卒中病人的临床资料。结果:3例病人曾服用溴隐亭,4例病人有高血压病史。术后病理结果:无功能腺瘤10例,泌乳素腺瘤(PRL)5例,促甲状腺激素型3例,生长激素型2例。早期手术病人视力恢复程度优于晚期手术病人。结论:高血压、服用溴隐亭是垂体瘤卒中的危险因素,无功能的垂体腺瘤更易发生卒中。急性垂体瘤卒中主要以突发头痛,视力下降,意识障碍为临床表现,早期经过蝶手术减压,可解除对视神经的压迫,改善视力。
Objective: To analyze the risk factors, clinical features, treatment and prognosis of acute pituitary apoplexy. Methods: The clinical data of 20 patients with acute pituitary apoplexy who were surgically treated in the Second People’s Hospital of Guiyang from January 2009 to December 2016 were retrospectively analyzed. Results: Three patients had taken bromocriptine and four had a history of hypertension. Postoperative pathological findings: 10 cases of non-functioning adenoma, 5 cases of prolactinoma (PRL), 3 cases of thyrotropin and 2 cases of growth hormone. Early surgery patients with visual acuity better than the late surgical patients. Conclusion: Hypertension, taking bromocriptine is a risk factor for pituitary apoplexy. Pituitary adenomas without function are more prone to stroke. Acute pituitary apoplexy mainly to sudden headache, vision loss, disturbance of consciousness as a clinical manifestation, early decompression by the butterfly surgery, the oppression of the optic nerve can be lifted, improve vision.