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目的:探讨小脑出血误诊原因。方法:回顾近8 a我院15例小脑出血误诊临床资料。结果:误诊为椎基底动脉供血不足10例,蛛网膜下腔出血2例,脑梗死2例,高血压脑病1例。结论:误诊原因是小脑出血症状体征多变、不典型;临床上对其发病率、危险性认识不足,体查不全面细致及对一些与小脑出血有关的体征欠全面分析。
Objective: To investigate the causes of misdiagnosis of cerebellar hemorrhage. Methods: To review the clinical data of 15 cases of cerebellar hemorrhage misdiagnosed in our hospital in recent 8 years. Results: Misdiagnosed as vertebrobasilar insufficiency in 10 cases, subarachnoid hemorrhage in 2 cases, cerebral infarction in 2 cases, hypertensive encephalopathy in 1 case. Conclusion: The reason of misdiagnosis is that the signs and symptoms of cerebellar hemorrhage are variable and atypical. There is not enough understanding of the incidence and risk in clinical practice. The physical examination is not comprehensive and detailed and there is a lack of comprehensive analysis of some signs related to cerebellar hemorrhage.