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蛛网膜下腔出血是临床常见病、多发病,约占中风疾病的5~10%;引起的原因较多,常处的病因主要是颅内动脉瘤破裂所致,其次为动静脉血管畸形以及一些少见的(?),如血液病、脑动脉硬化等。本病大多突然发病,剧烈头疼、频繁呕吐伴脑膜刺激征及血性脑脊液,症状体征典型者诊断较易,反之则极易误诊。本文就蛛网膜下腔出血4例误诊原因作一分析。例1 误诊为高血压脑病、尿潴留。李××,男,75岁。以头晕嗜睡、尿潴留2天为主诉,于1987年5月13日按“尿潴留”收住外科住院治疗;患者二天前下棋时时突然出现旋转性头晕,呕吐二次,非喷射性,当时测血压26.66/12 KPa(200/90mmHg),因嗜睡尿潴留治疗无效入我院。查
Subarachnoid hemorrhage is a common clinical disease, frequently-occurring disease, accounting for about 5 to 10% of stroke; caused by many reasons are often caused by ruptured intracranial aneurysms, followed by arteriovenous malformations and Some rare (?), Such as blood diseases, cerebral arteriosclerosis and so on. Most of the sudden onset of the disease, severe headache, frequent vomiting with meningeal irritation and bloody cerebrospinal fluid, symptoms and signs typical diagnosis easier, otherwise it is extremely easy to misdiagnosis. In this paper, four cases of misdiagnosis of subarachnoid hemorrhage for an analysis. Example 1 misdiagnosed as hypertensive encephalopathy, urinary retention. Lee × ×, male, 75 years old. To dizziness and drowsiness, urinary retention for 2 days as the main complaint, on May 13, 1987 according to “urinary retention” to receive surgical inpatient treatment; patients two days ago, a sudden spin rotating dizziness, vomiting, non-jet sex, Blood pressure 26.66 / 12 KPa (200 / 90mmHg), due to sleepiness and urinary retention therapy ineffective into our hospital. check