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蛛网膜下腔出血临床常见,近年来发病有所增加,可能与接受腰穿检查多有关。典型病例诊断不难,但非典型病例易误诊为其他疾病,现将我们在临床工作中遇到的误诊病例,选出5例报告和分析如下。病历摘要例1:男,48岁。1974年1月6日发生头痛,全身不适,第三天头痛加重,恶心、呕吐,在当地医院诊断为结核性脑膜炎,治疗未好,于1月19日转来我科急诊。检查:意识清楚,体温36.8℃,血压130/80mmHg,颈强直(+),克氏征(+)。胸透未见异常,白细胞总数8,700/mm~3,眼底正常。腰穿压力210/190
Subarachnoid hemorrhage clinical common, the incidence has increased in recent years, may be related to the acceptance of lumbar puncture and more. Typical case diagnosis is not difficult, but atypical cases are easily misdiagnosed as other diseases, now we encountered in clinical work of misdiagnosed cases, selected 5 cases reported and analyzed as follows. Case history summary 1: Male, 48 years old. Headache, malaise on January 6, 1974, aggravated headache on the third day, nausea and vomiting, diagnosis of tuberculous meningitis at a local hospital, and poor treatment, were transferred to our emergency department on January 19. Check: Consciousness, body temperature 36.8 ℃, blood pressure 130 / 80mmHg, neck stiffness (+), Kirschner sign (+). Thoracic without abnormalities, the total number of white blood cells 8,700 / mm ~ 3, fundus normal. Waist wear pressure 210/190