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本文报告诊断为良性高颅压的病例25例,其中14例获得随访,随访病例中4例死亡,死亡率28.5%,分析认为,这个死亡率即是误诊率;复习了失访的11例的病历,认为其中3例不复合良性高颅压的诊断,如果把这3例也按误诊计入,则误诊率为28%。分析了误诊的原因,强调对良性高颅压的诊断必须十分谨慎,并需进行系统随访,在动态观察中最后排除或确定良性高颅压的诊断。
This article reports 25 patients diagnosed with benign high intracranial pressure, of which 14 cases were followed up. Among the follow-up cases, 4 cases died and the mortality rate was 28.5%. According to the analysis, this mortality rate is misdiagnosis rate; review of 11 cases of lost follow-up According to medical records, 3 of them were not diagnosed with benign high intracranial pressure. If these 3 cases were also counted as misdiagnosis, the misdiagnosis rate was 28%. The reasons for misdiagnosis were analyzed, emphasizing that the diagnosis of benign high intracranial pressure must be very cautious, and systematic follow-up was needed. The diagnosis of benign high intracranial pressure was finally excluded or determined during dynamic observation.