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一,误诊为精神病1例: 男性,62岁,以头痛、呕吐、语乱二月,于83年10月13日入院。体检:表情淡漠,胡言乱语,按精神病给予治疗。入院第二天突然高烧39℃,神志不清,左侧瞳孔大于右侧,腹壁及提睾反射消失,腱反射〈(?)〉,双下肢病理征阳性。脑超声波中线右移0.5cm,脑血管造影提示左颞顶额无血管区。手术清除血肿100ml,术后痊愈出院。二,误诊为病毒性脑炎1例: 男性,23岁,因头痛、呕吐一月余,于83年9月5日入院。检查:体温36.6℃,血压120/70mmHg,颈项轻度抵抗,腹壁及提睾反射迟钝,右下肢腱反射〈(?)〉,右侧巴彬斯基氏征阳性。白细胞总
First, misdiagnosed as mental illness 1 case: male, 62 years old, with headache, vomiting, language disorder in February, was admitted to hospital on October 13, Physical examination: expression of indifference, nonsense, according to psychiatric treatment. On the second day after admission, the patient had a sudden high fever of 39 ° C. His pupils became unconscious on the left. The left pupil was larger than the right side, the abdominal wall and cremasteric reflex disappeared, and the tendon reflexes were both positive. Brain ultrasound right shift 0.5cm, cerebral angiography showed left temporal cortex without blood vessels. Surgical removal of hematoma 100ml, discharged after surgery. Second, misdiagnosed as viral encephalitis in 1 case: male, 23 years old, due to headache, vomiting more than a month, on September 5, 83 admitted. Examination: body temperature 36.6 ℃, blood pressure 120 / 70mmHg, neck mild resistance, abdominal wall and cremasteric reflex slow, right lower extremity tendon reflexes <(?)>, Right Babinski’s sign positive. Total white blood cells