怀孕期间下垂体中风的挑战
Ana-Maria Gheorghe1, Alexandra-Ioana Trandafir2, Mihaela Stanciu3
1Department of Endocrinology, "C.I. Parhon" National Institute of Endocrinology, 011683 Bucharest, Romania.
Journal of clinical medicine
|May 27, 2023
概括
妊娠期垂体脑梗塞 (PAP) 是一种罕见的,危及生命的疾病,主要表现为头痛. 及时诊断和保守的管理,包括皮质类固醇替代,对于有利的孕产妇和胎儿的结果至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 产科 产科 产科 产科 产科
- 神经外科 神经外科
背景情况:
- 在怀孕期间 (PAP) 和产后 (PAPP) 发生的垂体脑梗塞 (PA) 带来了独特的诊断和管理挑战.
- 了解PAP/PAPP的临床特征和结果对于优化母胎护理至关重要.
研究的目的:
- 为怀孕期 (PAP) 和产后期 (PAPP) 下垂体中风的挑战提供新的见解.
- 审查和综合当前关于PAP和PAPP的文献,以告知临床实践和改善母胎结局.
主要方法:
- 使用PubMed进行了对英语文学的叙事审查.
- 纳入标准侧重于2012年1月至2022年12月期间发表的临床相关原始研究.
- 分析了35项原始研究 (7项观察性研究,28项病例报告/系列) 的数据,涉及49名患者 (43名PAP,6名PAPP).
主要成果:
- PAP最常见的表现是头痛,通常在第三个三个月,伴随着相关症状,包括视觉异常和神经.
- 甲状腺瘤是与PAP相关的最常见的垂体腺瘤,通常大于1厘米.
- 在大多数PAP病例中,保守的治疗 (皮质类固醇替代,多巴胺激动剂) 是最受青的;对于神经眼科恶化,转形手术 (TSS) 是适用的.
结论:
- 胰腺炎是一种罕见但严重的疾病,需要高度怀疑指数,特别是在患有多巴胺激动剂使用或大垂体瘤等危险因素的患者中.
- 区分PAP头痛与其他产科紧急情况,如孕前症至关重要.
- PAPP是非常罕见的;保守的管理是典型的,关于垂体功能恢复的结果各不相同.
关键词:
内分泌系统内分泌系统内分泌系统激素激素激素激素激素激素激素激素神经外科神经外科手术下垂体腺瘤的前列腺瘤.pituitary 垂体中风 垂体中风 垂体中风下垂体的神经内分泌瘤在分娩后的产后.怀孕 怀孕 怀孕 怀孕 怀孕手术 手术 手术 手术 手术 手术 手术更多相关视频
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