【摘要】 大脑半球脑出血≤10 ml时临床症状较轻,临床表现极似脑梗死,易于误诊。作者回顾分析42例小量脑出血,CT检查前均误诊,其头痛、呕吐、颈抵抗、意识障碍及病理征等相关症状与同期多量脑出血组比较有极显著性差异,而与同期脑梗死组比较无显著差异,故较多误诊为脑梗死。为减少少量脑出血的误诊,作者建议对无颅内高压征的脑卒中患者尽旱行头颅CT检查。更多还原

【Abstract】 Small cerebral hemorrhage, less than 10ml, produces slight symptoms when located in the hemisphere and it is easily misdiagnosed. The author of this article retrospectively analyzed forty-two cases of small cerebral hemorrhage that were all misdiagnosed before CT scanning was given. They all represented clinical manifestations similar to those in cerebral infarction, like headache, vomiting , stiff - neck and disturbance of consciousness. There was a significant difference between small and large hemorrhage groups at the same stage in those pathological signs, whereas no difference could be found between the small hemorrhage and cerebral infarction. Consequently, small hemorrhage is commonly mistaken for cerebral infarction. According to the author, skull CT scan should be done as early as possible for the stroke without intracranial hypertension in order to reduce misdiagnosis of encephalorrhagia.更多还原