头部创伤和垂体机能减退症之间的关系在1918年首先由Cyran证实。作者等报告了6例并结合文献进行复习,摘录Ⅰ例如下: 例1.女孩、16岁。因车祸入院,神志不清,左侧瞳孔固定、扩大。10分钟后瞳孔等大,光反射存在。颅骨正常。昏迷3周,脑CT(一)。后出现视乳头水肿。重复脑CT扫描示两侧脑室对称性扩张。表明有活动性脑积水。行双侧脑室—心房造瘘术、神志逐渐恢复。不久出现乳溢。自车祸后闭 The relationship between head trauma and pituitary hypothyroidism was first confirmed by Cyran in 1918. The authors reported 6 cases and reviewed the literature, excerpt I for example as follows: Example 1. Girls, 16 years old. Due to a car accident admitted, unconscious, the left pupil fixed, expanded. Pupil and other large after 10 minutes, light reflection exists. The skull is normal. Coma 3 weeks, brain CT (a). After the optic disc edema. Repeated brain CT scan showed bilateral ventricular symmetry expansion. Show that there is active hydrocephalus. Line bilateral ventricle - atrial fistulation, consciousness gradually restored. Soon there is milk overflowing. Closed since the accident