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目的探讨不典型蛛网膜下腔出血(SAH)的误诊原因及预防对策。方法回顾性分析三门峡市第三人民医院2003年1月至2010年12月收治的170例SAH患者中26例不典型蛛网膜下腔出血的临床特点、诊断及治疗情况。结果 26例院前误诊或漏诊(占15.3%)。结论不典型蛛网膜下腔出血患者易造成漏诊及误诊,采取合理检查可降低误漏诊率。
Objective To investigate the misdiagnosis and prevention of atypical subarachnoid hemorrhage (SAH). Methods The clinical features, diagnosis and treatment of atypical subarachnoid hemorrhage in 170 SAH patients treated in Sanmenxia Third People ’s Hospital from January 2003 to December 2010 were retrospectively analyzed. Results 26 cases of pre-hospital misdiagnosis or missed diagnosis (15.3%). Conclusions Patients with atypical subarachnoid hemorrhage can easily cause misdiagnosis and misdiagnosis. Reasonable examination can reduce the misdiagnosis rate.