摘要
对１２例垂体腺瘤术后癫痫持续状态（ＥＳ）进行了临床分析。发现患者ＥＳ均发生在巨大和大型垂体腺瘤经额赖手术入路术后。提出垂体瘤术后发生ＥＳ由术中脑牵拉后脑水肿、中枢神经和下丘脑损伤、垂体及内分泌功能紊乱综合引起，预防方面要注意改进手术中脑牵拉技术及使用脑保护剂，治疗首选安定或阿米妥钠静注，查找病因及防止并发症是减少病死率的关键。
The author analysed 12 cases of pituitary patients with postoperative epilepic status, all these patients received frontofemporalcraniotomy for large or huge pituitary adenomas. The results showed that the epileptic status were caused by brain edema,hypothalamus injury and endocrine disturbances after operation. Treatment should be aimed at sedatives and complication managements, and prophylactical methods should be given to prevent brain redaction injury, so the mortality may be reduced.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1996年第1期16-18,共3页
Chinese Journal of Nervous and Mental Diseases
关键词
垂体肿瘤
腺瘤
手术后
癫痫持续状态
并发症
Pituitary adenama Postoperative Epileptic status Frontotemporal craniotomy
