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急性脑血管病在临床上容易发生误诊,我院768例急性脑血管病中发生误诊者共4例,均经尸解病理检查证实,其中脑出血误诊为脑血栓1例,静脉窦血栓继发脑出血误诊为脑血栓1例,脑梗塞误诊为脑出血1例,脑肿瘤误诊为脑出血1例。兹将病历摘要介绍并作回顾性分析讨论,以期吸取教训,提高诊断正确率。例1 农×,女性,53岁。突发左侧偏瘫于1978年9月4日入院。患者1973年起患高血压,1977年患过心肌梗塞。检查:患者嗜睡,问之能答;血压180/110毫米汞柱;颈无抵抗;双侧瞳孔等大,两眼向右凝视,左视盘鼻侧稍模糊,视网膜A:V=
Acute cerebrovascular disease is clinically prone to misdiagnosis, misdiagnosis in 768 cases of acute cerebrovascular disease in our hospital a total of 4 cases were confirmed by autopsy pathological examination, of which cerebral hemorrhage misdiagnosed as cerebral thrombosis in 1 case, secondary to sinus thrombosis Cerebral hemorrhage misdiagnosed as cerebral thrombosis in 1 case, cerebral infarction misdiagnosed as cerebral hemorrhage in 1 case, brain tumor misdiagnosed as cerebral hemorrhage in 1 case. The medical records summary is introduced and retrospectively analyzed and discussed in order to learn lessons to improve the diagnostic accuracy. Example 1 agricultural ×, female, 53 years old. Sudden left hemiplegia was admitted to hospital on September 4, 1978. The patient developed hypertension in 1973 and suffered a myocardial infarction in 1977. Check: Patients drowsiness, asked to answer; blood pressure 180/110 mm Hg; neck non-resistant; bilateral pupil and other large, staring at both eyes to the right, the left optic disc slightly blurred nose, retina A: V =