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目的探讨蛛网膜下腔出血(SAH)临床早期误诊原因,吸收经验教训。方法回顾分析解放军第425医院2010-03-2010-10收治80例SAH的临床资料。结果 20例分别误诊为高血压、上呼吸道感染、颈椎病、癫痫、梅尼埃病、脑出血、椎间盘脱出、脑血栓等疾病。结论 SAH临床表现往往不典型,首诊误诊率高,应及时行头颅CT检查或腰椎穿刺检查脑脊液(CSF),以提高早期诊断,减少延误诊治。
Objective To investigate the causes of early misdiagnosis of subarachnoid hemorrhage (SAH) and to absorb the experience and lessons. Methods A retrospective analysis of PLA 425 Hospital 2010-03-2010-10 admitted 80 cases of SAH clinical data. Results 20 cases were misdiagnosed as hypertension, upper respiratory tract infection, cervical spondylosis, epilepsy, Meniere’s disease, cerebral hemorrhage, disc herniation, cerebral thrombosis and other diseases. Conclusions The clinical manifestations of SAH are often atypical. The rate of misdiagnosis in first diagnosis is high. Cerebrospinal fluid (CSF) should be examined by skull CT or lumbar puncture in time to improve the early diagnosis and reduce the delay of diagnosis and treatment.