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作者回顾近19个月间在4个三级神经外科医疗机构中,连续治疗症状性脑动脉瘤患者的记录。根据最初医疗评估误诊或确诊率,并对其临床过程和预后作了分析。217例患者中有54例(25％)在初诊中误诊。其中121例原先具有较好的临床状况(临床级别为1级或2级),有46例(38％)被误诊。误诊组54例患者中46例(85％)最初评为1级或2级,相比确诊的163例中仅有75例(46％)最初评定为1级或2级
The authors review the records of consecutive patients with symptomatic cerebral aneurysms in four tertiary neurosurgical institutions during the past 19 months. Based on the initial medical assessment of misdiagnosis or diagnosis, and its clinical course and prognosis were analyzed. Of the 217 patients, 54 (25%) were misdiagnosed in the first visit. Of these, 121 had previously had a good clinical status (clinical grade 1 or 2) and 46 (38%) were misdiagnosed. Of the 54 patients misdiagnosed, 46 (85%) were initially rated grade 1 or 2, with only 75 (46%) of the 163 confirmed cases initially rated grade 1 or 2