Pituitary crisis

Introduction Pituitary hypofunction crisis (referred to as pituitary crisis). On the basis of total pituitary dysfunction, various stresses such as infection, sepsis, diarrhea, vomiting, dehydration, hunger, cold, acute myocardial infarction, cerebrovascular accident, surgery, trauma, anesthesia and the use of sedatives, sleeping pills, drops Pigment drugs can induce pituitary crisis. Highlighted in the digestive system, circulatory system and neuropsychiatric symptoms, such as high fever, circulatory failure, shock, nausea, vomiting, headache, confusion, paralysis, convulsions, coma and other serious dying state.

Cause

When anterior pituitary dysfunction, adrenocortical hormone and thyroid hormone deficiency, decreased body stress, various stresses such as infection, sepsis, diarrhea, vomiting, dehydration, hunger, cold, acute myocardial infarction, cerebrovascular accident, surgery , trauma, anesthesia and the use of sedatives, sleeping pills, hypoglycemic agents, etc. can induce pituitary crisis.

an examination

Therefore, patients with clinical pituitary crisis should be examined:

First, physical examination

Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease.

Second, laboratory inspection

Laboratory examinations must be summarized and analyzed based on objective materials and medical examinations, and several possible diagnostics are proposed, and then further examinations are performed to confirm the diagnosis.

Differential diagnosis

Pituitary dysfunction: The pituitary gland is the most important endocrine gland in the human body, divided into two parts: the anterior lobe and the posterior lobe. It secretes a variety of hormones, such as growth hormone, thyroid stimulating hormone, adrenocorticotropic hormone, gonadotropin, oxytocin, prolactin, black cell stimulating hormone, etc., and also stores antidiuretic hormone secreted by the hypothalamus. These hormones play an important role in metabolism, growth, development and reproduction. The cause of pituitary dysfunction is called the primary pituitary dysfunction in the pituitary, and the secondary pituitary dysfunction in the hypothalamus.

Postpartum pituitary necrosis: common in the anterior pituitary hypofunction, caused by a variety of lesions of the pituitary or hypothalamus involving the endocrine function of the pituitary. When all or most of the pituitary is destroyed, a series of manifestations of endocrine glandular dysfunction can occur, with the main glands involved being the gonads, thyroid, and adrenal cortex. The disease is more common in women, and is associated with pituitary avascular necrosis caused by postpartum hemorrhage.

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