蛛网膜下腔出血(SAH)小儿较少见,患儿往往发病急骤,多在数小时内进入昏迷,甚易误诊。本文报告1例误诊病例,以期引起重视。病历摘要患儿男,4岁。因头痛伴呕吐一次,当日下午到某卫生院看病,按感冒处理。当晚11点头痛加重,以枕部为主,再到卫生院就诊,以“流脑”收住院。静滴青霉素治疗。第2日晨2点,患儿抽搐几下后突然呼吸停止,立即人工呼吸,5小时后转来我院。入院 Subarachnoid hemorrhage (SAH) Children less common, children are often sudden onset, and more in a few hours into a coma, easily misdiagnosed. This article reports 1 case of misdiagnosis, with a view to attracting attention. Summary of medical records Children male, 4 years old. Due to headache with vomiting, the afternoon to a hospital for treatment, according to the flu treatment. Headache increased 11 o’clock that night, with occipital-based, go to the hospital for treatment, with “meningitis” admitted to hospital. Intravenous penicillin treatment. 2:00 on the 2nd day, children with convulsions after a few breath stopped breathing, artificial respiration immediately, 5 hours later transferred to our hospital. Admission