原发性垂体脓肿临床上很少见,诊断和治疗比较困难。作者报告了一例。患者女性,42岁,入院前两周开始出现全身不适,寒颤,发热。二天前出现复视,间歇性意识模糊,相继出现昏迷而入院。既往有糖尿病和甲状腺切除后甲状腺机能减退,一 Primary pituitary abscess is rarely seen clinically, and diagnosis and treatment are difficult. The author reported an example. The patient, a 42-year-old female, developed general discomfort, chills, and fever two weeks before admission. Two days ago, diplopia occurred, intermittent consciousness was blurred, and coma appeared one after another. Previously had diabetes and hypothyroidism after thyroidectomy.