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特发性高泌乳素血症(IH)是指患者血清泌乳素(PRL)水平升高,经各种检查(包括头部CT扫描)未发现垂体式中枢神经系统及其它可引起PRL分泌过多的疾病.由于IH患者很少发展为大腺瘤;持续高PRL血症所引起的危害小于垂体手术或长期药物治疗可能产生的副反应,因此作者近10年来对IH患者采用观察的方针.本文报导41例IH患者随诊2～11年(平均5.5年)的结果.本组患者女性40例,男性1例,平均年龄26岁.初诊时血PRL水平至少2次大于20ng/ml.28例在停服避孕药后1年内发病,3例在产后发病;
Idiopathic hyperprolactinemia (IH) refers to an elevated level of serum prolactin (PRL) in patients with pituitary CNS and other abnormalities that cause excessive PRL secretion after various examinations (including CT scans of the head) Since IH patients rarely develop large adenomas, persistent hyperproliferaemia is less harmful than pituitary surgery or long-term pharmacological side effects and therefore, the authors have adopted an approach to IH patients for almost 10 years. Reported 41 cases of IH patients were followed up 2 to 11 years (mean 5.5 years) the results of this group of 40 patients with females, 1 males, mean age 26 years of age at diagnosis of PRL levels at least 2 times greater than 20ng / ml.28 cases In stopping taking contraceptives within 1 year after onset, 3 cases of postpartum morbidity;