There are now many treatments for pituitary tumors, but the treatment of pituitary tumors is still primarily surgical. Surgical treatment does remove as much of the tumor as possible, but it also carries some complications, and a significant number of patients report discomfort after surgery, commonly headaches and fever, and in some cases, significant polyuria. What is the reason for this? What postoperative complications do they suffer from?
1. Hypopituitarism manifested as fever, general weakness, headache, nausea, vomiting, and lack of food and drink. Check blood cortisol and thyroid hormone, and after the diagnosis is clear, treat with prednisone and thyroxine under the guidance of the doctor.
2. Hyponatremia usually occurs on the 4th~8th day after surgery, manifested as hypothermia, weakness, headache, nausea, vomiting, and in severe cases, mental deterioration. Low blood and chloride values on laboratory tests. After the diagnosis is clear, the infusion is supplemented with hypertonic saline, and water intake is restricted.
3.Urinary catarrh The performance is to drink more water and urinate more. More than 4000 ml a day. Mostly starts 3 days after surgery, no dehydrating agent and diuretic is given in principle after surgery. Postoperative urine volume <200ml>250ml/h can be used for posterior pituitary gland or mydriatic subcutaneous injection.
4, nasal congestion Mostly occurs after the removal of the nasal stuffing gauze after surgery, individual after several days, mild cases of nasal temporary filling of cotton balls can be seen. In severe cases (bleeding hundreds of milliliters), angiography is required.
5, internal carotid artery injury can cause pseudoaneurysm, internal carotid artery-cavernous sinus fistula, postoperative large-vessel spasm, occlusion, and cerebral nerve injury (accounting for 0.4% to 1.9%), especially the exhibition nerve injury is common.
When these complications occur, patients and family members should not panic, but should actively inform the medical staff, and can be relieved with active treatment.