中国垂体瘤卒中诊治专家共识  

Chinese experts'consensus on diagnosis and treatment of pituitary apoplexy China Pituitary Adenoma Specialist Council

作　　者：中国垂体腺瘤协作组 李振兴 寿雪飞 马驰原 赵曜 姚勇[4] 王海军[5] 王任直[4] China Pituitary Adenoma Specialist Council

机构地区：[1]不详 [2]东部战区总医院神经外科 [3]复旦大学附属华山医院神经外科 [4]北京协和医院神经外科 [5]中山大学附属第一医院神经外科

出　　处：《临床神经外科杂志》2022年第6期601-608,共8页Journal of Clinical Neurosurgery

摘　　要：垂体瘤卒中是由垂体瘤出血和/或梗死引发的一种较少见的急症。患者可表现为急性头痛、呕吐、视力视野障碍、眼肌麻痹、全身乏力,可同时伴有意识障碍,严重者危及生命,需要施行规范化的诊疗。然而目前其临床诊治存在争议,尚未形成共识。本协作组组织国内数十位神经外科、内分泌科、放射科和眼科专家,根据其临床经验和国内外文献报道,对垂体瘤卒中的流行病学、病理生理学、临床表现、影像学表现、诊断及鉴别诊断、治疗、围手术期管理、随访和预后进行了全面系统的讨论,形成共识,为垂体瘤卒中的临床诊治提供了推荐意见。Pituitary apoplexy is defined as a rare clinical syndrome due to pituitary tumor hemorrhage or infarction.It consists of sudden onset of a severe headache,vomiting,visual disturbance,ophthalmoplegia,malaise,with or without altered mental status,which may be life-threatening and requires standardized management.However,the clinical diagnosis and treatment remain controversial.Based on the clinical experience of Chinese neurosurgeons,endocrinologists,radiologists and ophthalmologists and domestic and foreign literatures,the China Pituitary Adenoma Specialist Council conducts a comprehensive consensus on the epidemiology,pathophysiology,clinical manifestations,imaging,diagnosis and differential diagnosis,treatment,perioperative management,follow-up and prognosis of pituitary apoplexy and provides recommendations for the clinical management.

关 键 词：垂体瘤卒中 诊治 专家共识 

分 类 号：R736.4[医药卫生—肿瘤] R743.3[医药卫生—临床医学]