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总结18例脑出血误诊病人。头颅CT扫描前误诊为脑梗塞、脑动脉硬化、高血压病、高血压脑病、血管性头痛、上呼吸道感染、美尼尔综合征、蛛网膜下腔出血、癫痫等病。误诊原因:①部分病人以亚急性或静态起病,易与脑梗塞等病混淆。②对无定位体征脑出血认识不足、警惕性不够。③老年人因反应迟钝、脑萎缩等原因,颅压增高症状常不明显。④个别病人临床表现特异。⑤对表象未进一步深究原因。并针对误诊原因提出对策。
18 cases of cerebral hemorrhage misdiagnosed patients. Head CT scan misdiagnosed as cerebral infarction, cerebral arteriosclerosis, hypertension, hypertensive encephalopathy, vascular headache, upper respiratory tract infection, Meniere’s syndrome, subarachnoid hemorrhage, epilepsy and other diseases. Causes of misdiagnosis: ① Some patients with subacute or static onset, easily confused with other diseases such as cerebral infarction. ② lack of understanding of signs of cerebral hemorrhage lack of vigilance enough. ③ elderly due to unresponsive, brain atrophy and other reasons, often increased intracranial pressure symptoms are not obvious. ④ specific clinical manifestations of individual patients. ⑤ no further study of the cause of the phenomenon. And countermeasures for misdiagnosis reasons.