创伤后垂体功能减退症：一例儿童病例报告。

Post-traumatic hypopituitarism: report of a child case.

作者信息

Aoki Makoto, Hagiwara Shuichi, Murata Masato, Kaneko Minoru, Kanbe Masahiko, Nakajima Jun, Sawada Yusuke, Ohyama Yoshio, Tamura Jun'ichi, Oshima Kiyohiro

机构信息

Department of Emergency Medicine Gunma University Graduate School of Medicine Maebashi Gunma Japan.

Department of General Medicine Gunma University Graduate School of Medicine Maebashi Gunma Japan.

出版信息

Acute Med Surg. 2016 May 16;4(1):93-96. doi: 10.1002/ams2.220. eCollection 2017 Jan.

DOI:10.1002/ams2.220

PMID:29123841

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5667293/

Abstract

CASE

We report a case of post-traumatic hypopituitarism in a 9-year-old boy who was injured in a car accident.

OUTCOME

Post-traumatic hypopituitarism might be caused by moderate to severe head trauma, and while this possibility has recently drawn attention in adults, few reports are available regarding children. Our patient experienced head and facial injury, resulting in post-traumatic hypopituitarism. Six hours after injury he suffered from diabetes insipidus and hormone replacement therapy was started. On day 12 he underwent facial fracture reduction under general anesthesia. On day 24 he was discharged from the hospital. One year after the injury, secretory function and water dehydration tests suggested the possibility of post-traumatic hypopituitarism.

CONCLUSION

We experienced a child case of post-traumatic hypopituitarism. Emergency physicians should pay attention to the possibility of post-traumatic hypopituitarism in cases of traumatic brain injury.

摘要

病例

我们报告一例9岁男孩因车祸受伤后发生创伤性垂体功能减退的病例。

结果

创伤性垂体功能减退可能由中度至重度头部外伤引起，虽然这种可能性最近在成人中引起了关注，但关于儿童的报道很少。我们的患者头部和面部受伤，导致创伤性垂体功能减退。受伤6小时后，他出现尿崩症，并开始进行激素替代治疗。第12天，他在全身麻醉下接受了面部骨折复位手术。第24天，他出院了。受伤一年后，分泌功能和水脱水利尿试验提示有创伤性垂体功能减退的可能。