蛛网膜下腔出血(主要是脑动脉瘤破裂)在脑卒中中与脑梗塞,脑出血相比发病率较低(10%左右),但死亡率较高(30%左右)。尽管近几年手术效果明显提高,但平均死亡率仍然没有下降。为此,在早期治疗时要注意以下四个问题。一、早期治疗的重要性上嶋氏报告114例,蛛网膜下腔出血初诊的误诊率是25%。误诊的病例虽然都有头痛、呕吐、一过性意识障碍等蛛网膜下腔出血特有的症状,但最初被误诊为高血压,上呼吸道感染(各7例),头痛待查(4例)等并不少见。多在第二天到二周内症状恶化和再 Subarachnoid hemorrhage (mainly cerebral aneurysm rupture) has a lower incidence of stroke (cerebral infarction, cerebral hemorrhage compared to 10%), but higher mortality (about 30%). Despite the marked improvement in surgical outcomes in recent years, the average mortality rate has not decreased. To this end, in the early treatment should pay attention to the following four questions. First, the importance of early treatment Shang Shi’s report of 114 cases, first diagnosis of subarachnoid hemorrhage misdiagnosis rate was 25%. Although misdiagnosed cases had symptoms specific to subarachnoid hemorrhage such as headache, vomiting and transient unconsciousness, they were initially misdiagnosed as high blood pressure, upper respiratory tract infections (7 cases each), headache pending investigation (4 cases), etc. Not uncommon. More symptoms and worse again in the next two days to two weeks