首发症状不典型的蛛网膜下腔出血21例分析

Analysis of atypical symptomes at onset in 21 patients with subarachnoid hemorrhage

目的分析蛛网膜下腔出血(SAH)首发症状不典型的产生机制和误诊原因,以提高早期诊断水平。方法对2006-2010年诊治的21例首发症状不典型的SAH患者的临床资料进行回顾性分析。结果首发症状为头痛但无脑膜刺激征者5例;意识障碍者4例;眩晕者3例;偏瘫者2例;颈痛者2例;腰腿痛2例;精神异常者1例;抽搐者1例;头昏、黑朦1例。结论熟知SAH的不典型首发症状,对不能排除SAH的患者应尽早、合理完善辅助检查,以减少误诊、漏诊。

Objective To analyze the mechanism of production of atypical symptoms at onset of subarachnoid hemorrhage(SAH) and the reasons of misdiagnosis.Methods The clinical data of 21 SAH patients with atypical symptoms at onset within 2006-2010 were retrospectively studied.Results 5 patients with atypical symptome at onset of headache without signs of meningeal irritation;4 patients with disturbance of consciousness;3 patients with vertigo;2 patients with hemiplegia;2 patients with pain of neck;2 patients with lumb...