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垂体嫌色细胞瘤以低钠血症为临床突出表现者很少见。本文报道一例于下。陈某,男,74岁,住院号:6571。平素体健,因不易入眠3天,后枕部隐痛10小时伴恶心、晕沉感、站立不稳,于1981年1月26日住院观察。有高血压史30余年,服复降片,血压波动于120～170/84～100。前列腺肥大史10余年。排尿不畅。1977年X线胃肠钡餐检查示十二指肠溃疡,平时偶有上腹烧灼感。入院体检:神清,检查合作,一般情况尚可。体温36.9℃,脉率76次,呼吸14次,血压170/90。胸腹及神经系统检查无特殊。血、尿、粪常规及SGPT、TTT、ZnTT、血尿素氮、尿酸、血脂均正常。经对症处理,约2～3天即好转。
Pituitary chromophoblastic tumor with hyponatremia as a prominent clinical manifestations are rare. This article reports an example below. Chen, male, 74 years old, hospital number: 6571. Usually physical health, because not easy to sleep for 3 days, 10 hours after the occipital pain with nausea, drowsiness, standing instability, hospitalized January 26, 1981 observation. Hypertension has a history of more than 30 years, serving diplopia, blood pressure fluctuations in the 120 ~ 170/84 ~ 100. Prostate hypertrophy in more than 10 years. Poor urination. 1977 X-ray examination of gastrointestinal barium showed duodenal ulcer, usually occasional abdominal burning sensation. Admission medical examination: God clear, check cooperation, the general situation is acceptable. Body temperature 36.9 ℃, pulse rate 76 times, breathing 14 times, blood pressure 170/90. Chest and abdomen and nervous system examination no special. Blood, urine, fecal routine and SGPT, TTT, ZnTT, blood urea nitrogen, uric acid, blood lipids were normal. After symptomatic treatment, about 2 to 3 days that is better.