Fatal postoperative 'pituitary apoplexy': its cause and management.
Fatal postoperative 'pituitary apoplexy': its cause and management.
复制标题
DOI：
10.1080/02688699550041728
复制
发表时间：
1995
影响因子：
1.1
通讯作者：
A. Goel M Deogaonkar K Desai
中科院分区：
文献类型：
--
作者：
A. Goel M Deogaonkar K Desai
据报道有两例巨大垂体瘤。患者接受了经颅手术，一名经翼点入路，一名经额下入路。由于各种原因，在每种情况下只能部分切除肿瘤。术后立即临床病情急剧恶化导致两名患者再次手术。其中一种情况是在伤口闭合后 45 分钟内进行再次手术，另一种情况是在 12 小时后进行。肿瘤的巨大肿胀并伴有出血性梗塞的证据是一个令人惊讶的发现。经过一段动荡的术后阶段后，两名患者均死亡。我们假设这些患者因残留肿瘤而发生垂体卒中。
Two cases of giant pituitary tumours are reported. The patients underwent transcranial operation, one by the pterional and one by the subfrontal route. Only partial resection of the tumour was possible in each instance for various reasons. Acute worsening of the clinical condition in the immediate postoperative phase led to reoperation in both patients. In one case the reoperation was carried out within 45 min of the closure of the wound and in the other after 12 h. Massive swelling of the tumour with evidence of haemorrhagic infarction was a surprise finding. After a turbulent postoperative phase, both patients died. We postulate that these patients developed pituitary apoplexy of the residual tumour.