脑出血与脑梗塞的鉴别诊断在临床上具有重要意义,然而单凭症状表现要作出正确的诊断颇为困难。据资料,临床诊断与病理解剖所见的符合率:脑出血为65.2％,脑梗塞64％,蛛网膜下腔出血68％。自从CT扫描问世以后,脑血管疾病的诊断和鉴别已经基本上得到解决。但是,当前CT设备远未普及,因此在实际工作中仍存在一定的困难,以下对有关鉴别诊断谈几个问题。一、临床鉴别诊断注意事项普遍认为,脑出血大多是在活动时突然发病,往往伴有头痛、呕吐,血压升高、意识障碍明显、脑膜刺激征阳性等表现,而脑血栓形成的起病比较缓慢,多是在安静状态下或睡眠时发生,无头痛、呕吐,血压多不高,也无意识障碍,脑膜刺激征阴性。这些鉴 The differential diagnosis of cerebral hemorrhage and cerebral infarction is clinically significant, however, it is quite difficult to make correct diagnosis based on symptom manifestations alone. According to the data, the coincidence rate of clinical diagnosis and pathological anatomy: cerebral hemorrhage was 65.2%, cerebral infarction 64%, subarachnoid hemorrhage 68%. Since the advent of CT scanning, the diagnosis and differentiation of cerebrovascular diseases have been basically solved. However, the current CT equipment is far from universal, so there are still some difficulties in the actual work, the following on the differential diagnosis to talk about several issues. First, the clinical differential diagnosis considerations Generally agreed that most of the sudden onset of cerebral hemorrhage in the activity, often accompanied by headache, vomiting, elevated blood pressure, disturbance of consciousness, positive meningeal irritation and other performance, and the incidence of cerebral thrombosis compared Slow, mostly in a quiet state or during sleep, no headache, vomiting, high blood pressure is not high, but also unconsciousness, negative meningeal irritation. These lessons