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蛛网膜下腔出血为内科急症之一,由于某些病例之临床表现常不典型,故每易误诊。据我院1965~1978年收治的49例中,在他院或我院误诊的即达13例之多,误诊率为26.9%。为了提高对本病的认识,现摘要报告,并略加讨论。误诊为原发性癫癎 女,46岁。主诉为突然昏倒、阵发癫癎样抽搐半小时、小便失禁而于1974年12月7日被送入我院急诊,并以癫癎留察治疗,既往体健,无类似病史。留察期间神志模糊,并先后抽搐二次,每次持续3~4分钟,乃以“癫癎持续状态”之诊断,于12月8日收入
Subarachnoid hemorrhage is one of the medical emergency, due to the clinical manifestations of some cases are often not typical, so every misdiagnosis. According to our hospital from 1965 to 1978 admitted 49 cases, misdiagnosed in his hospital or hospital as many as 13 cases, the misdiagnosis rate was 26.9%. In order to improve awareness of the disease, the summary report is now available and is briefly discussed. Misdiagnosed as primary epilepsy female, 46 years old. The chief complaint was a sudden fainting, epileptic seizures paroxysm half an hour, urinary incontinence and was December 7, 1974 was sent to our hospital emergency department, and treated with epilepsy, previous physical health, no similar history. During the observation ambiguity, and has convulsions twice, each for 3 to 4 minutes, is the “status epileptic” diagnosis, on December 8 revenue