（共15页PPT）尚建发病例讨论.pptVIP

Middle-agedmanNearlysix-yearhistorypanhypopituitarismSellaleison---variableCASECHARACTERSWhatistheleisonofpituitary?临床表现石骨症可分两型，即幼儿型（也为恶性型）和成人型（良性型）。骨折，多位于骨干部，其愈合不延迟。因骨髓腔变窄，引起进行性贫血，髓外造血器官可代偿性增大。氟中毒时重者显不同程度躯干关节酸痛，活动受限。氟斑牙为征。Changeofpituitarysecondarywhentheinflammatorypituitaryreactionistriggeredbyadefiniteetiologicinfectiveagentoraknownsystemicdisease,primarywhentheinflammationisconfinedtothepituitaryglandwithnoidentifiableetiologicassociationtheyshareclinicalandradiologicalfeaturesandcanonlybedistinguishedfromeac