Got pituitary crisis and pituitary apoplexy how to treat?

summary

Pituitary crisis and pituitary apoplexy refer to the deficiency of adrenocortical hormone and thyroid hormone when the function of anterior pituitary is decreased, and the body's stress ability is decreased. The crisis is induced by infection, vomiting, diarrhea, dehydration, cold, hunger and the application of sleeping drugs or anesthetics. Got pituitary crisis and pituitary apoplexy how to treat? Next, I'd like to share my views with you.

Got pituitary crisis and pituitary apoplexy how to treat?

50% glucose was injected intravenously, followed by 10% glucose, and hydrocortisone was added into the infusion. However, the dosage of hydrocortisone should not be too large in patients with hypothermic coma. Immediately give small to medium dose of glucocorticoid, and limit water.

The treatment of myxedema coma is similar to that of myxedema coma, but it is necessary to add appropriate amount of hydrocortisone before (at least at the same time) thyroid hormone. In addition, central inhibitors such as chlorpromazine and barbital are strictly prohibited.

A large amount of hormone replacement therapy and hemostatic agents should be used. Those with diabetes insipidus or abnormal secretion of antidiuretic hormone should be examined for water and salt metabolism; In case of severe intracranial hypertension, vision loss, coma and progressive deterioration of the disease, decompression should be performed.

matters needing attention

Avoid infection, vomiting, diarrhea, dehydration, cold, hunger and the use of sleeping pills or anesthetics and other incentives to induce crisis. Eat more high cellulose and fresh vegetables and fruits, with balanced nutrition, including protein, sugar, fat, vitamins, trace elements, dietary fiber and other essential nutrients. Mix meat and vegetables, diversify food varieties, and give full play to the complementary role of nutrients among foods.