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我院曾将8例颅内占位病变误诊为脑血栓,现报告如下。病例摘要一、颅内血肿2例例1:女,60岁,住院号46076。1979年10月8日无诱因开始头痛,非喷射状呕吐,次日右肢瘫入院。无外伤,高血压史。查体:右肢肌力0级,眼底无水肿,心肺、腹正常。脑脊液(CSF)正常。按脑血栓治疗,右肢肌力一度恢复至Ⅲ级。10月21日突然昏迷,瞳孔右4mm,左2mm。双侧颅内动脉造影示右侧占位病变,手术证实为右侧硬膜下血肿。例2:男,56岁,住院号67001。因右肢麻木,视物模糊4小时于1985年6月2日入院,有高血压史
8 cases of intracranial space-occupying lesions in our hospital had misdiagnosed as cerebral thrombosis, are as follows. Case Summary 1, intracranial hematoma 2 cases 1: female, 60 years old, hospital number 46076. October 8, 1979 no incentive to start a headache, non-jet-like vomiting, right paralysis hospitalized the next day. No trauma, history of hypertension. Physical examination: right limb muscle strength 0, fundus without edema, cardiopulmonary and abdominal normal. Cerebrospinal fluid (CSF) is normal. Treatment by cerebral thrombosis, right limb muscle strength was restored to grade III. October 21 sudden coma, pupil right 4mm, left 2mm. Bilateral intracranial arteriography showed the right place lesions, surgery confirmed the right side of the subdural hematoma. Example 2: Male, 56 years old, hospital number 67001. Due to numbness of the right limb, blurred vision 4 hours in June 2, 1985 admission, history of hypertension