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蛛网膜下腔出血(SAH),可分为原发性和继发性两大类。典型的SAH依据突然剧烈头痛,喷射性呕吐,脑膜刺激征和血性脑脊液诊断不难,但不典型病例诊断常出现误诊。现把我院误诊的五例报告如下: 例1男,56岁干部因头痛、发热5天。诊断发热待查、高血压病入院治疗。5天前晚上小便时,突然感觉头痛,性质锐呈全头痛,头不敢转动,呕吐少量胃内容物。发病第二天出现发热,体温38℃以下抗生素治疗无效。检查:神清,血压160/100mmHg。心肺(一)。
Subarachnoid hemorrhage (SAH), can be divided into two major categories of primary and secondary. Typical SAH based on sudden severe headache, jet vomiting, meningeal irritation and bloody cerebrospinal fluid is not difficult to diagnose, but often misdiagnosed diagnosis of atypical cases. My hospital is now misdiagnosed five cases as follows: Example 1 Male, 56-year-old cadres for headaches, fever for 5 days. Diagnosis of fever pending investigation, hypertension hospitalization. 5 days ago urinating at night, I suddenly felt a headache, the nature of sharp full headache, head dared to turn, vomit a small amount of stomach contents. The next day the incidence of fever, body temperature below 38 ℃ antibiotic therapy ineffective. Check: God clear, blood pressure 160 / 100mmHg. Heart and lung (a).