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目的探讨老年性非典型症状蛛网膜下腔出血临床特点。方法对笔者所在医院近两年经CT或腰穿确诊的18例老年性非典型症状蛛网膜下腔出血临床资料进行回顾性分析。结果老年性非典型症状蛛网膜下腔出血症状多样化。结论蛛网膜下腔出血是神经内科危急重症之一,若症状典型,诊断较易,但若是老年性非典型症状蛛网膜下腔出血,其症状多样化,要降低其误诊、漏诊率,则需临床医生全面掌握老年人蛛网膜下腔出血的临床特点,详细询问病史,全面细致地体检,开阔视野,拓展思维。
Objective To investigate the clinical features of subarachnoid hemorrhage in elderly patients with atypical symptoms. Methods The clinical data of 18 cases of senile atypical symptoms of subarachnoid hemorrhage confirmed by CT or lumbar puncture in the hospital where the author was hospitalized in the past two years were analyzed retrospectively. Results Aging symptoms of subarachnoid hemorrhage were diversified. Conclusions Subarachnoid hemorrhage is one of the most serious neurological diseases. If the symptoms are typical and the diagnosis is easy, if the symptoms of the atypical subarachnoid hemorrhage are elderly, the symptoms are diversified and the misdiagnosis and misdiagnosis rate should be reduced Clinicians fully grasp the clinical features of elderly patients with subarachnoid hemorrhage, a detailed history, comprehensive and meticulous physical examination, broaden their horizons and expand their thinking.