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垂体大腺瘤:手术干预及术后管理的综合病例研究

Pituitary Macroadenoma: A Comprehensive Case Study of Surgical Intervention and Postoperative Management.

作者信息

Shah Dhruv, Sen Jayshree

机构信息

Anaesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Apr 30;16(4):e59387. doi: 10.7759/cureus.59387. eCollection 2024 Apr.

Abstract

This case report presents a comprehensive analysis of a 48-year-old woman diagnosed with pituitary macroadenoma, detailing the clinical presentation, surgical intervention, and postoperative management. The patient exhibited a complex array of symptoms, including persistent headaches, insomnia, and anemia, with a history of trauma and blood transfusion. Magnetic Resonance Imaging (MRI) confirmed the presence of a large, lobulated pituitary macroadenoma, prompting a trans-nasal trans-sphenoidal endoscopic excision. The surgical procedure was successful, but postoperative complications, revealed by a CT scan, included hyperdense lesions and mixed-density collections. Incorporating antibiotics, analgesics, antacids, and anti-emetics, vigilant postoperative care addressed these complications. This case underscores the challenges and successes in managing pituitary macroadenomas, highlighting the importance of individualized care, multidisciplinary collaboration, and ongoing research for optimizing patient outcomes. The insights gained from this case contribute to the evolving understanding and refinement of strategies for addressing these complex tumors.

摘要

本病例报告对一名48岁被诊断为垂体大腺瘤的女性进行了全面分析,详细阐述了临床表现、手术干预及术后管理。该患者表现出一系列复杂症状,包括持续性头痛、失眠和贫血,有创伤和输血史。磁共振成像(MRI)证实存在一个大的、分叶状的垂体大腺瘤,促使进行经鼻经蝶窦内镜切除术。手术过程成功,但CT扫描显示术后并发症包括高密度病变和混合密度积液。通过使用抗生素、镇痛药、抗酸药和止吐药,术后的密切护理解决了这些并发症。本病例强调了垂体大腺瘤管理中的挑战与成功,突出了个体化护理、多学科协作以及持续研究对优化患者预后的重要性。从该病例中获得的见解有助于不断加深对处理这些复杂肿瘤策略的理解并加以完善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a292/11139436/6469fcb64d50/cureus-0016-00000059387-i01.jpg

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