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目的 探讨有诱发因素垂体卒中和无诱发因素垂体卒中患者在临床特征、治疗结果方面的区别及其临床意义。方法 42例急性垂体卒中患者中有诱发因素 (12例 )与无诱发因素患者 (3 0例 )在临床特征及预后方面进行比较。结果 有诱发因素的患者与无诱发因素的患者 :前者更多地出现精神状态的改变 (P =0 0 3 2 )、视觉功能障碍 (P =0 0 2 0 )和视野缺损 (P =0 0 46) ,诊断比后者更加延迟 (P =0 0 15 )。结论 垂体卒中患者常因诱发因素加重其病情 ,混杂其临床表现而使诊断和治疗延迟 ,使视觉功能恢复不佳。对头痛患者中突然出现视力衰退者应考虑到垂体卒中的可能性。
Objective To investigate the differences and clinical significance of the clinical features and treatment outcome of pituitary apoplexy patients with pituitary apoplexy and non-evoked factors. Methods The clinical features and prognosis of 42 patients with acute pituitary apoplexy were compared with those without inducing factors (30 patients). Patients with predisposing factors and those without predisposing factors: The former experienced more psychiatric changes (P = 0.0032), visual impairment (P = 0.0020) and visual field defects (P = 0 0 46), the diagnosis was more delayed than the latter (P = 0 0 15). Conclusions Patients with pituitary apoplexy usually have delayed diagnosis and treatment due to the predisposing factors aggravating their condition, and their clinical manifestations are mixed with each other, which leads to the poor visual function recovery. Sudden vision loss in headache patients should consider the possibility of pituitary apoplexy.