Postoperative care following pituitary surgery.
Postoperative care following pituitary surgery.
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DOI：
10.1177/0885066605275247
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发表时间：
2005-05-01
影响因子：
3.1
通讯作者：
Laws, Edward R Jr
中科院分区：
文献类型：
--
作者：
Dumont, Aaron S;Nemergut, Edward C 2nd;Laws, Edward R Jr
接受垂体肿瘤手术的患者代表了一个异质性人群，每个人群都有独特的临床、生化、放射学、病理学、神经学和/或眼科考虑因素。垂体手术后患者的术后管理通常发生在下丘脑-垂体-终末器官轴动态状态的背景下。因此，这些患者术后护理的重要组成部分集中在警惕筛查和观察神经内分泌紊乱，如不同程度的垂体功能减退和水平衡紊乱（尿崩症和抗利尿激素分泌不当综合征）。此外，必须认识到经蝶入路肿瘤切除术的其他潜在并发症，包括脑脊液漏和脑膜炎。本文综述了垂体手术患者的术后管理，重点是仔细筛查和识别并发症。
Patients undergoing surgery for pituitary tumors represent a heterogeneous population each with unique clinical, biochemical, radiologic, pathologic, neurologic, and/or ophthalmologic considerations. The postoperative management of patients following pituitary surgery often occurs in the context of a dynamic state of the hypothalamic-pituitary-end organ axis. Consequently, a significant component of the postoperative care of these patients focuses on vigilant screening and observation for neuroendocrinologic perturbations such as varying degrees of hypopituitarism and disorders of water balance (diabetes insipidus and the syndrome of inappropriate antidiuretic hormone). Additionally, one must be cognizant of other potential complications specific to the transsphenoidal approach for tumor removal including cerebrospinal fluid leakage and meningitis. This review addresses the postoperative management of patients undergoing pituitary surgery with an emphasis on careful screening and recognition of complications.