Coma after pituitary resection

After pituitary resection due to pituitary tumors or metastatic breast cancer, severe diabetic retinopathy, etc., patients may become comatose. Preoperative patients with hypopituitarism are more likely to occur. Coma occurs after pituitary resection, which can be due to local damage. Causes disturbance of consciousness. It can also be caused by endocrine gland dysfunction, especially the adrenal cortex dysfunction before surgery, can not tolerate the severe stimulus caused by surgery, or because of water and electrolyte metabolism disorders before and after surgery, the patient cannot recover after surgery. , Drowsiness or coma, can last for several days to months, incontinence, can still respond to painful stimuli, sometimes wake up temporarily, grip reflex and sucking reflex disappear, pulse rate and blood pressure can be normal or slightly Low, body temperature can be high or low, or normal, blood glucose and blood sodium can also be normal or slightly lower. It is a type of pituitary crisis. When the anterior pituitary function is reduced, the adrenal hormones and thyroid hormones are deficient, and the body's stress capacity is reduced. In the case of infection, vomiting, diarrhea, dehydration, cold, hunger, etc. Inducing crisis.

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