1990年1月至1996年1月我科共收治32例垂体腺瘤卒中病人，占同期垂体腺瘤病人的6.4％。临床主要表现头痛、恶心呕吐、视功能障碍、眼肌麻痹和意识障碍。内分泌学检查部分病人有垂体功能低下，影像学检查显示垂体腺癌和颅内出血。本文就垂体腺瘤卒中病人的病因、诊断及治疗原则进行了讨论。 From January 1990 to January 1996, 32 cases of pituitary adenoma stroke patients were treated in our department, accounting for 6.4% of patients with pituitary adenoma in the same period. The main clinical manifestations are headache, nausea and vomiting, visual dysfunction, ophthalmoplegia, and disturbance of consciousness. Some patients with endocrinology have hypopituitarism and imaging examinations show pituitary adenocarcinoma and intracranial hemorrhage. This article discusses the etiology, diagnosis and treatment of patients with pituitary adenomas.