老年慢性硬脑膜下血肿28例误诊分析  

Analysis of misdiagnosis of elderly chronic subdural hematoma in 28 cases

作　　者：殷耀义 Yin Yaoyi(Department of Neurology,Chongyang County People's Hospital of Hubei Province 437500)

机构地区：[1]湖北省崇阳县人民医院神经科,437500

出　　处：《中国社区医师》2016年第24期182-183,共2页Chinese Community Doctors

摘　　要：目的:分析老年慢性硬脑膜下血肿误诊因素。方法:收治慢性硬脑膜下血肿老年患者76例,对其临床症状及误诊因素进行分析。结果:28例被误诊为其他颅脑疾病,其中老年性痴呆8例,脑震荡6例,脑梗死6例,颅内压增高症4例,颅内占位性病变4例。结论:临床医务工作者应注重患者病史的详细调查及慢性硬脑膜下血肿不典型症状、体征,应尽早行头部CT或MRI检查,尽早确立诊断,以免误诊、误治。Objective:To analyze the misdiagnosis factors of elderly chronic subdural hematoma.Methods:76 elderly patients withchronic subdural hematoma were selected.The clinical symptoms and misdiagnosis factors were analyzed.Results:28 cases weremisdiagnosed as other brain diseases,including 8 cases of senile dementia,6 cases of cerebral concussion,6 cases of cerebralinfarction,4 cases of intracranial hypertension,4 cases of intracranial space occupying lesions.Conclusion:Clinical medicalworkers should note the detailed investigation of medical history,atypical symptoms and signs of chronic subdural hematoma.Itshould be as soon as possible given head CT or MRI examination,and early diagnosis was established in order to avoidmisdiagnosis and mistreatment.

关 键 词：硬脑膜下血肿 慢性 诊断 误诊 

分 类 号：R651.15[医药卫生—外科学]