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轻型脑出血容易误诊为脑血栓,多年来一直受到人们的重视。而脑梗塞误诊为脑出血的不多,现分析我们最近遇到的二例。 [例1]孙某,男,62岁,于21日晨3时许,在排尿中咳嗽之后,突然说话不清,旋即意识朦胧,在上肢活动不能,四肢强直,无呕吐和抽搐,以脑出血急诊收入院。既往患高血压病多年。查体:体温36.5℃、脉搏90次/分;血压200/120mmHg。双肺布满痰呜音,心脏听诊末闻及杂音,心律规整,肝脾未触及。意识不清,压眶有反应,两侧瞳孔等
Light cerebral hemorrhage misdiagnosed as cerebral thrombosis, over the years has been subject to people’s attention. The cerebral infarction misdiagnosed as cerebral hemorrhage is small, now analyze the two cases we recently encountered. [Example 1] Sohn, male, 62 years old, at 21 o’clock in the morning at 3 am, coughing in the voiding, suddenly unable to speak clearly blurred immediately in the upper limb activity, limb stiffness, no vomiting and convulsions to the brain Bleeding emergency hospital. Previously suffering from hypertension for many years. Physical examination: body temperature 36.5 ℃, pulse 90 beats / min; blood pressure 200 / 120mmHg. Pulmonary lung full of phlegm, auscultation and heart auscultation, regular heart rhythm, liver and spleen not touched. Unconsciousness, pressure orbital reaction, bilateral pupils and so on