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患者,男,35岁,农民。因少眠、头痛、视物模糊、情绪低沉3月余来院诊治。患者既往身体健康,否认精神科阳性家族史。躯体检查未见明显异常,实验室及其他常规检查无异常。精神科检查情绪低沉,悲观厌世、心烦易躁,求治心切。临床诊断抑郁症,给予多虑平、维生素类药物治疗观察,并嘱半月后复查。半月后来诊,患者诉症状无明显改善,仍感夜间难眠,心情低沉,时有头痛、眼花、诉干活后感腹部发热、欲呕吐、心虚易汗,并出现双侧视野的缺损。遂怀疑颅内占位病变,行头颅CT检查,CT诊断为脑垂体瘤。
Patient, male, 35 years old, farmer. Due to lack of sleep, headache, blurred vision, low mood, she came to the hospital for treatment in March. The patient was previously physically healthy and denied a positive family history of psychiatry. There were no obvious abnormalities in the physical examination, and there were no abnormalities in the laboratory and other routine examinations. The psychiatric examinations are low mood, pessimistic, upset, and eager to seek treatment. Clinically diagnosed depression, given doxepin, vitamin drug treatment observations, and review after half a month. After half a month later, the patient complained of no significant improvement in symptoms and she still felt sleepless at night. Her mood was low, headache, vertigo, and complaints of abdominal fever, vomiting, guilty perspiration, and bilateral visual field defects. Suspected intracranial lesions, head CT examination, CT diagnosis of pituitary tumors.