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目的探讨临床诊断与电子计算机断层扫描(CT)对小量脑出血诊断分析。方法对31例误诊为脑梗死患者,随后经CT确诊为小量脑出血的患者的临床资料进行回顾性分析。结果 31例临床初步诊断脑梗死,CT证实为小量脑出血,血肿最小0.7ml,最大8.2ml。患者病情恢复可,无死亡病例。结论小量脑出血仅根据临床表现难于做出诊断,常因病情轻微,类似于脑梗死患者,容易误诊,所以应及早选择CT检查,CT能明确诊断出脑出血包括小量的脑出血。
Objective To investigate the diagnostic value of clinical diagnosis and computed tomography (CT) in treating small amount of cerebral hemorrhage. Methods The clinical data of 31 patients misdiagnosed as cerebral infarction and subsequently diagnosed as small-volume cerebral hemorrhage by CT were analyzed retrospectively. Results 31 cases of clinical diagnosis of cerebral infarction, CT confirmed a small amount of intracerebral hemorrhage, hematoma minimum 0.7ml, maximum 8.2ml. The patient’s condition can be recovered, no deaths. Conclusion A small amount of intracerebral hemorrhage is difficult to diagnose based on clinical manifestations. It is often mild and similar to patients with cerebral infarction. Misdiagnosis is easy. Therefore, CT should be selected as early as possible. CT can clearly diagnose cerebral hemorrhage including small amount of cerebral hemorrhage.