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本文介绍两例临床表现和气脑造影貌似垂体腺瘤的病例,经手术证实,一为颈内动脉虹吸部巨大动脉瘤,一为空蝶鞍。现报告如下: 例1 女,38岁,农民,44538。于1964年5月19日以头痛伴视力减退进行性加重3年入院。3年前左额发作性头痛,左眼看东西模糊,2年前失明。入院前5个月被人推倒头部碰伤后昏迷10余分钟,以后头痛加重波及双侧额顶部,同时右眼亦视物不清出现多饮多尿。5年前产后月经再未来潮。检查:肥胖,腋毛及阴毛脱落,左眼失明右眼颞侧偏盲鼻侧2米数指。双眼底呈原发视神经萎缩。血液化验正常。基础代谢率+50%。颅平片(-),缓慢定
This article describes the clinical manifestations of two cases and pneumoperitoneum looks like pituitary adenomas cases, confirmed by surgery, one for the Department of internal carotid siphon giant aneurysm, an empty sella. The report is as follows: Example 1 Female, 38 years old, farmer, 44538. May 19, 1964 with headache with visual impairment increased 3-year admission. Left forehead onset 3 years ago, headache, blurred vision on the left eye, 2 years ago, blindness. Five months before admission, he was pushed over his head for more than 10 minutes after his head had been injured. After that, the headache increased to the top of the bilateral forehead. At the same time, the right eye also drank polydipsia. 5 years ago, no longer postpartum menstrual cramps. Check: obesity, armpit hair and pubic hair loss, left eye blindness right temporal hemianopsia nasal 2 meters means. Eyes were primary optic atrophy. Normal blood test. Basal metabolic rate + 50%. Plain skull (-), set slowly