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我院从1978年1月～1983年6月,共收治蛛网膜下腔出血67例。其中误诊或延误诊断者13例。这同国外报告误诊率相近似。本文对5例误诊原因提出讨论。以上消化道出血为首发症状者例一,女性,23岁。因上腹部疼痛三天,行走时不慎跌倒,随即呕吐咖啡样物约800毫升,于82年9月17日17时急诊入院。查体:血压130/70mmHg,神清,皮肤无黄染及出血点,无颈强,心肺正常,腹部平软,肝
Our hospital from January 1978 to June 1983, a total of 67 cases of subarachnoid hemorrhage. Among them, 13 cases were misdiagnosed or delayed diagnosis. This is similar to the foreign misdiagnosis rate. This article discusses the causes of misdiagnosis in five cases. Cases of gastrointestinal bleeding as the first symptom, female, 23 years old. Due to pain in the upper abdomen for three days, walking accidentally fell, then vomit coffee samples about 800 ml, at 17 o’clock on the September 17, 82 emergency room admission. Physical examination: blood pressure 130 / 70mmHg, God clear, yellow skin and bleeding points, no neck strong, normal heart and lungs, abdominal soft, liver