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脑血管疾病在老年人中十分常见,临床诊断并不困难。而对一些症状不典型的颅内肿瘤,起病方式和临床早期表现酷似脑血管疾病,往往容易导致误诊。本文结合典型误诊病例讨论分析如下。例1:患者男性,49岁。于1983年12月29日夜间起床小便时感右侧上下肢活动不灵活,次日晨起,右侧上下肢完全瘫痪,在县医院诊断为脑血栓形成,给低分子右旋糖酐等扩张血管药物治疗,25天后不见改善转我院。检查发现病人意识模糊,血压110/80mmHg,两眼底视乳头水肿,右侧中枢性面瘫,右側上下
Cerebrovascular disease is very common in the elderly, clinical diagnosis is not difficult. For some of the symptoms of atypical intracranial tumors, onset of symptoms and early clinical manifestations of cerebrovascular disease, often easily lead to misdiagnosis. This article combined with typical misdiagnosis case discussion is as follows. Example 1: Male patient, 49 years old. On the night of December 29, 1983, when getting up and urinating, the right and left upper extremities were inflexible. From the next morning, the upper and lower extremities on the right side were totally paralyzed. They were diagnosed as cerebral thrombosis at the county hospital and dilated vasodilators such as low molecular dextran No improvement after 25 days to transfer to our hospital. Examination found that patients with confusion, blood pressure 110 / 80mmHg, two bottom papilledema, right central paralysis, the right side up and down