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近年来,虽然对脑出血的认识有很大提高,但在临床上仍不乏误诊。据国外的病理解剖资料统计,临床错误诊断率高达18％。有人对1000例中风的尸检和临床诊断作对照统计,结果脑出血的符合率仅为65％。在我们的临床实践中,由于条件的限制,误诊更屡见不鲜。今引几则病例并结合文献分析误诊原因如下: 例一、王××,男,47岁,工人,住院号031617,1983年3月14日以“脑血管意外”入院。病人于一小时前洗脸时,突感头痛,头晕、身体向右倾倒,当时神志清,恶心,呕吐一次。
In recent years, although awareness of cerebral hemorrhage has greatly improved, but there is still no lack of clinical misdiagnosis. According to statistics of pathological anatomy abroad, the clinical diagnosis error rate as high as 18%. Some 1000 cases of stroke autopsy and clinical diagnosis for the control statistics, the results of cerebral hemorrhage in line with only 65%. Misdiagnosis is more common in our clinical practice because of the limitations of conditions. Today cited a few cases and combined with literature analysis misdiagnosis reasons are as follows: Example 1, Wang × ×, male, 47 years old, workers, hospital number 031617, March 14, 1983 to “cerebrovascular accident” admission. When the patient was washing his face an hour earlier, she had a headache, dizziness, and her body fell to the right. At that time, she was conscious, nauseated and vomited once.