老年人自发性蛛网膜下腔出血误诊4例分析

• 作 者: 郑新平
• 机 构: 湖南省衡阳市第五医院内科,
• 出 处: 临床医学杂志
• 发表日期: 1986年06期
• 关键词: 脑血管病 机能减退 组织损害 眩晕症 病理反射阴性 蛛网膜下腔出血 肺呼吸音 神经系统体征 神志不清 脑膜刺激症

自发性蛛网膜下腔出血(以下简称SAH)是常见的脑血管病之一,其发病率为0.5～2%,占脑血管病的5～12%.老年患者,因机体各脏器机能减退及出血部位、脑组织损害程度不同,临床表现可不典型,每易造成误诊.为提高对本病的认识,现将笔者所遇4例报道并浅析如下: 例1 误诊为癫痫患者,孙某某,女,62岁,因抽搐、头痛、呕吐1

Spontaneous subarachnoid hemorrhage (hereinafter referred to as SAH) is one of the common cerebrovascular diseases, the incidence of 0.5 to 2%, accounting for 5 to 12% of cerebrovascular disease in elderly patients, due to the body organ dysfunction And bleeding sites, different degrees of brain damage, clinical manifestations may be atypical, each easily lead to misdiagnosis .In order to improve the understanding of the disease, now I encountered four cases reported and analyzed as follows: Example 1 misdiagnosed as epilepsy patients, Sun Mou A, female, 62 years old, due to convulsions, headache, vomiting