在临床工作中,蛛网膜下腔出血往往误诊为癔病、脑炎、脑膜炎、脑脓肿、高血压性脑出血等,但误为急腹症者罕见。本院遇见1例以急腹症为主要表现的自发性蛛网膜下腔出血,最初曾误诊为溃疡病穿孔,为提高对该病的认识,特报道如下。 In clinical work, subarachnoid hemorrhage is often misdiagnosed as hysteria, encephalitis, meningitis, brain abscess, hypertensive intracerebral hemorrhage, but was mistaken for acute abdomen rare. The hospital met with 1 case of acute abdomen as the main manifestation of spontaneous subarachnoid hemorrhage, had initially misdiagnosed as ulcer perforation, in order to improve awareness of the disease, especially reported as follows.