病历摘要患者魏某,男性,48岁。近1年来出现烦渴、多饮、多尿。每日饮水量达6,000ml 左右,尿量达5,000ml 左右。双下肢乏力。周身皮肤偶尔出现散在疖肿,能自愈。曾2次出现视力下降,持续1～2个月自行缓解。近2个月出现阳萎。发病1年余,身体未消瘦,不多食。患者曾在某医院诊断为糖尿病。经中、西医治疗无效,于1984年7月12日才转入我院。检查:患者精神差,呈慢性病容,皮肤干燥,面部及周身皮肤可见散在性疖肿。头颅 X 线平片:鞍上可见有不规则的钙化斑团,但蝶鞍本身骨质完整。头颅 CT 扫描:在鞍区见有一高密度病变区,病灶边界光滑清楚,鞍上池为病灶所充满。第三脑室前部充盈缺损,病灶大小2×3×3cm,注药后病灶区无增强。血糖及其他方面的检查无异常发现。诊断:颅咽管瘤。 Medical record summary patient Wei, male, 48 years old. In the past 1 year, there have been polydipsia, polydipsia and polyuria. Daily water consumption is about 6,000ml, and urine volume is about 5,000ml. Both lower limbs are weak. Occasionally, the whole body’s skin is scattered and it can heal itself. Visual loss occurred twice and sustained self-relaxation for 1 to 2 months. Impotence occurs in the last 2 months. More than 1 year after the onset of illness, the body was not wasted, and there was no more food. The patient had been diagnosed with diabetes in a hospital. The Chinese and Western medicines failed to cure and were transferred to our hospital on July 12, 1984. Examination: The patient has poor mental health, chronic disease, dry skin, and visible loose skin on the face and whole body. Skull X-rays: There are irregular calcified plaques on the saddle, but the sella itself is intact. Skull CT scan: There was a high-density lesion in the saddle area. The borders of the lesions were smooth and clear, and the suprasellar cistern was full of lesions. The third ventricle was filled with anterior defect, and the lesion size was 2×3×3cm. No lesions were enhanced after injection. Blood sugar and other tests were found without exception. Diagnosis: craniopharyngioma.