1病例资料患者男,61岁,因“性功能减退20年,阵发性心悸4～5年,发现垂体占位1周”于2012-11-17入院。患者20年前出现性功能减退,未就诊。4～5年前出现阵发性心悸,伴少量出汗,持续1～2 h。1个月前当地医院诊为阵发房颤,行垂体平扫MRI:鞍区占位,考虑垂体腺瘤(3.3 cm×2.4 cm×2.5 cm)(见图1)。门诊拟“垂体占位”收入院。既往糖尿病史18年,胰岛素治疗,高血压病2年,服药控制。 1 Case data Male, 61 years old, because of “sexual dysfunction 20 years, paroxysmal palpitations 4 to 5 years and found that pituitary position 1 week ” in 2012-11-17 admission. 20 years ago, patients with sexual dysfunction, no treatment. 4 to 5 years ago, paroxysmal palpitations, with a small amount of sweating, sustained 1 ~ 2 h. A month ago, the local hospital was diagnosed with paroxysmal atrial fibrillation. The pituitary placenta accreta MRI: the seat of the saddle area, consider the pituitary adenoma (3.3 cm × 2.4 cm × 2.5 cm) (see Figure 1). Outpatient simulation “Pituitary Placeholder ” income hospital. Past 18 years of history of diabetes, insulin therapy, hypertension 2 years, medication control.