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不典型的蛛网膜下腔出血在临床实际中误诊屡见不鲜。本文就我院误诊的病例结合文献进行分析讨论,以期加深对本病临床表现特殊性的认识。 1 临床资料 1.1 一般资料 我院5年中误诊16例蛛网膜下腔出血患者,均经腰椎穿刺脑脊液检查证实。男10例,女6例。38～45岁3例,46～62岁4例,>64岁9例。合并颈椎病者8例,脑动脉硬化者10例,原发性高血压病4例,上呼吸道感染2例。误诊美尼尔病4例,颈椎病6例,眩晕症,胆道蛔虫症1例,高血压脑病3例,上呼吸道感染2例。误诊时间3～7天。
Atypical subarachnoid hemorrhage misdiagnosis in clinical practice is not uncommon. This article misdiagnosed cases in our hospital combined with the literature analysis and discussion, with a view to deepen the clinical manifestations of this disease awareness. 1 Clinical data 1.1 General Information 5 years in our hospital were misdiagnosed 16 cases of subarachnoid hemorrhage patients were confirmed by lumbar puncture cerebrospinal fluid. 10 males and 6 females. 38 to 45 years in 3 cases, 46 to 62 years in 4 cases,> 64 years in 9 cases. 8 cases of cervical spondylosis, cerebral arteriosclerosis in 10 cases, 4 cases of essential hypertension, upper respiratory tract infection in 2 cases. Misdiagnosis 4 cases of Meniere’s disease, 6 cases of cervical spondylosis, vertigo, biliary ascariasis in 1 case, hypertensive encephalopathy in 3 cases, upper respiratory tract infection in 2 cases. Misdiagnosis time 3 to 7 days.