暴发型垂体瘤卒中的诊断和治疗
垂体瘤,,垂体瘤；卒中；暴发型；诊断；治疗,1临床资料,2结果,3讨论,参考文献
【摘要】 目的 阐明暴发型垂体瘤卒中患者的临床表现，探讨暴发型垂体瘤卒中的治疗方法。方法 对7例经CT、MRI和病理检查确诊为暴发型垂体瘤卒中患者的临床特征进行分析，对疗效进行观察。结果 7例均经外科手术治疗，6例好转，1例死亡。结论 暴发型垂体瘤卒中患者，均应进行神经外科急症手术治疗以减低鞍内外压，以挽救生命及保存视力。积极防治术后并发症是降低患者术后死亡率的关键措施。【关键词】 垂体瘤；卒中；暴发型；诊断；治疗
【Abstract】 Objective To clarify the clinical characteristics and discuss the treatments of ictus pituitary adenoma apoplexy.Methods The clinical characteristics were analyzed in 7 patients with pituitary adenoma apoplexy diagnosed by CT, MRI and pathologic examination. We studied the results of treatment and analysed their clinical specificity and examine the result of treatment. Results All patients were treated by urgent surgery. 6 of them got improvement after operation, 1 died from encephalon hernia. Conclusion The patients of pituitary adenoma apoplexy should all be treated by urgent surgery method to decrease the pressure of the sella turcica. Its impotent to deal with the complication after the operation actively that can enhance the subsistence rate of the patients of ictus pituitary adenoma apoplexy ......
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