误诊为脑梗死且险些溶栓的急性自发微量脑出血一例  

Acute spontaneous trace amount cerebral hemorrhage misdiagnosed as cerebral infarction and nearly thrombolysis:a case report

作　　者：赵暾 徐霁华[1] 何有娣[1] 鲁明 Tun Zhao;Jihua Xu;Youdi He;Ming Lu(Department of Neurology,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院神经内科,100020

出　　处：《中华脑血管病杂志（电子版）》2023年第4期369-372,共4页Chinese Journal of Cerebrovascular Diseases(Electronic Edition)

摘　　要：微量脑出血尽管表现出的临床症状轻微,在头部CT上显影不清,并且因其表现出的症状与腔隙性脑梗死非常相似,经常被按照临床经验诊断,存在较多漏诊、误诊。作者回顾性分析了1例合并球结膜出血的、表现为单纯感觉障碍的、被误诊为脑梗死的微量脑出血患者的病历资料,以期加深临床医师对微量脑出血的认识。Despite presenting with minor clinical signs, microcerebral hemorrhage is poorly seen on CT. It is frequently diagnosed based on clinical experience because it presents with symptoms extremely similar to lacunar cerebral infarction, and many instances are therefore ignored or misdiagnosed. To improve clinicians' understanding of microcerebral hemorrhage, authors retrospectively analysed the medical records of a patient with simple sensory disturbance acomplicated by a subconjunctival haemorrhage that was misdiagnosed as a cerebral infarction.

关 键 词：脑出血 微量 结膜下出血 磁共振成像 磁敏感加权序列 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R542.22[医药卫生—临床医学]