Division of Diabetes, Endocrinology and Metabolism, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Neurosurg Clin N Am. 2012 Oct;23(4):679-89. doi: 10.1016/j.nec.2012.06.001. Epub 2012 Jul 31.
Pituitary tumors are a unique class of intracranial neoplasms with the potential to disrupt hormone function and water metabolism. Preoperative and postoperative endocrine assessment is mandatory to recognize and promptly treat new deficiencies and identify those that have resolved. Close collaboration among neurosurgical, endocrine, and anesthetic teams is equally vital during the perioperative period. Appropriate patient education at the time of discharge regarding the symptoms of diabetes insipidus, hyponatremia, and adrenal insufficiency is increasingly important.
垂体肿瘤是一类具有潜在能力破坏激素功能和水代谢的独特颅内肿瘤。术前和术后的内分泌评估是必不可少的，以识别和及时治疗新出现的不足，并确定已解决的不足。在围手术期，神经外科、内分泌和麻醉团队之间的密切协作同样至关重要。在出院时，对尿崩症、低钠血症和肾上腺功能不全的症状进行适当的患者教育也变得越来越重要。
