急性垂体卒中的治疗策略

被引:4
作者
盛汉松
温良
刘伟国
杨小锋
机构
[1] 浙江大学医学院附属第二医院神经外科
关键词
急性垂体卒中; 手术治疗; 药物治疗;
D O I
10.16636/j.cnki.jinn.2007.06.023
中图分类号
R736.4 [垂体肿瘤];
学科分类号
100112 [医学生物化学与分子生物学];
摘要
药物治疗是垂体卒中基本治疗手段,经蝶入路行鞍内减压术为首选的手术方式。综合文献分析强调对进行性视力障碍或有意识障碍程度加深的病人应及早行手术治疗,对患者视力障碍、视野缺损、眼肌麻痹的改善和恢复有积极作用可达到减少并发症发生,降低死亡率。
引用
收藏
页码:583 / 586
页数:4
相关论文
共 13 条
[1]
Surgical treatment for severe visual compromised patients after pituitary apoplexy [J].
Chuang, Chi-Cheng ;
Chang, Chen-Nen ;
Wei, Kuo-Chen ;
Liao, Cheng-Chih ;
Hsu, Peng-Wei ;
Huang, Ying-Cheng ;
Chen, Yao-Liang ;
Lai, Li-Ju ;
Pai, Ping-Ching .
JOURNAL OF NEURO-ONCOLOGY, 2006, 80 (01) :39-47
[2]
Guidelines of the Pituitary Society for the diagnosis and management of prolactinomas [J].
Casanueva, Felipe F. ;
Molitch, Mark E. ;
Schlechte, Janet A. ;
Abs, Roger ;
Bonert, Vivien ;
Bronstein, Marcello D. ;
Brue, Thierry ;
Cappabianca, Paolo ;
Colao, Annamaria ;
Fahlbusch, Rudolf ;
Fideleff, Hugo ;
Hadani, Moshe ;
Kelly, Paul ;
Kleinberg, David ;
Laws, Edward ;
Marek, Josef ;
Scanlon, Maurice ;
Sobrinho, Luis G. ;
Wass, John A. H. ;
Giustina, Andrea .
CLINICAL ENDOCRINOLOGY, 2006, 65 (02) :265-273
[3]
Thunderclap headache [J].
Schwedt, Todd J. ;
Matharu, Manjit S. ;
Dodick, David W. .
LANCET NEUROLOGY, 2006, 5 (07) :621-631
[4]
Pituitary apoplexy: retrospective review of 30 patients - is surgical intervention always necessary? [J].
Gruber, A. ;
Clayton, J. ;
Kumar, S. ;
Robertson, I. ;
Howlett, T. A. ;
Mansell, P. .
BRITISH JOURNAL OF NEUROSURGERY, 2006, 20 (06) :379-385
[5]
Visual outcome of blind eyes in pituitary apoplexy after transsphenoidal surgery: a series of 14 eyes [J].
Agrawal, D ;
Mahapatra, AK ;
Post, KD ;
Ludecke, D .
SURGICAL NEUROLOGY, 2005, 63 (01) :42-46
[6]
Management of pituitary apoplexy: clinical experience with 40 patients [J].
Lubina, A ;
Olchovsky, D ;
Berezin, M ;
Ram, Z ;
Hadani, M ;
Shimon, I .
ACTA NEUROCHIRURGICA, 2005, 147 (02) :151-157
[7]
Acute management of pituitary apoplexy – surgery or conservative management?.[J].JohnAyuk;Elizabeth J.McGregor;Rosalind D.Mitchell;Neil J. L.Gittoes.Clinical Endocrinology.2004, 6
[8]
Pituitary apoplexy: A review of clinical presentation, management and outcome in 45 cases [J].
Sibal L. ;
Ball S.G. ;
Connolly V. ;
James R.A. ;
Kane P. ;
Kelly W.F. ;
Kendall-Taylor P. ;
Mathias D. ;
Perros P. ;
Quinton R. ;
Vaidya B. .
Pituitary, 2004, 7 (3) :157-163
[9]
Management of pituitary apoplexy [J].
Chanson, P ;
Lepeintre, JF ;
Ducreux, D .
EXPERT OPINION ON PHARMACOTHERAPY, 2004, 5 (06) :1287-1298
[10]
A RETROSPECTIVE ANALYSIS OF PITUITARY APOPLEXY [J].
BILLS, DC ;
MEYER, FB ;
LAWS, ER ;
DAVIS, DH ;
EBERSOLD, MJ ;
SCHEITHAUER, BW ;
ILSTRUP, DM ;
ABBOUD, CF .
NEUROSURGERY, 1993, 33 (04) :602-609