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蛛网膜下腔出血经常有不典型之临床表现,尤其是老年人.易误诊而延误治疗乃至危及生命.本文就45例蛛网膜下腔出血因初发症状、体征不典型而误诊作一综合分析.1 临床资料1.1 一般资料 本组资料来源于1986年9月～1994年9月;病人经1次以上门诊就诊未明确诊断,误诊时间1～15天、平均3天,后经CT或腰穿证实蛛网膜下腔出血.男29例,女16例,年龄36～78岁,平均59.3岁;其中<44岁3例,45～59岁14例,>60岁28例;有高血压病史15例,血管性头痛史7例.动态起病30例.静态起病15例.
Subarachnoid hemorrhage often have atypical clinical manifestations, especially in the elderly. Misdiagnosis and delay treatment and even life-threatening.This article 45 cases of subarachnoid hemorrhage due to initial symptoms, signs and atypical misdiagnosed as a comprehensive analysis .1 Clinical data 1.1 General information The data in this group from September 1986 to September 1994; patients after more than one outpatient clinic was not diagnosed, misdiagnosis time 1 to 15 days, an average of 3 days, after the CT or lumbar Confirmed subarachnoid hemorrhage .There were 29 males and 16 females, aged 36 to 78 years old, with an average of 59.3 years; of which <44 years old in 3 cases, 45 to 59 years in 14 cases,> 60 years old in 28 cases; history of hypertension 15 Cases, history of vascular headache in 7. Dynamic onset in 30. Static onset in 15 cases.