目的:探讨急性期脑出血的MRI表现及误诊原因。方法:回顾分析经手术病理或临床随访证实的3例脑出血MRI误诊病例。结果:1例误诊为胶质瘤,1例误诊为脑转移瘤并出血,1例误诊为脑脓肿。结论:MR发现可疑征象结合临床及随访复查可有效减少误诊的发生。 Objective: To investigate the MRI manifestations and misdiagnosis of acute cerebral hemorrhage. Methods: Three misdiagnosed cases of cerebral hemorrhage confirmed by surgical pathology or clinical follow-up were retrospectively analyzed. Results: One patient was misdiagnosed as glioma, one patient misdiagnosed as brain metastases and hemorrhage, and one patient was misdiagnosed as brain abscess. Conclusion: MR findings of suspicious signs combined with clinical and follow-up review can effectively reduce the incidence of misdiagnosis.