摘要
目的探讨蛛网膜下腔出血(SAH)的临床表现及CT特点。方法回顾分析79例SAH病例的临床、CT诊断结果。结果本组79例中,头痛56例,呕吐46例,脑膜刺激征51例,意识障碍24例。CT检查76例中阳性66例。结论SAH表现为头痛、呕吐及脑膜刺激征,少数以头晕、癫痫发作、胸背及腰腿痛等症起病,老年人临床表现不典型,均易导致误诊。CT在SAH诊断方面快速、安全、阳性率较高,但有一定的局限性。
Objective To investigate the clinical features and CT characteristics of the subarachnoid haemorrhage （SAH）. Methods The clinical symptoms and CT findings of 79 cases with SAIl were analyzed retrospectively. Results Among the 79 cases, 56 cases with headaches, 46 cases with vomits, 51 cases with irritative symptoms of meninges, 24 cases with disturbances of consciousness. 66 cases showed positive findings from CT. Conclusions Headaches, vomits and irritative symptoms of meninges are the main symptoms of ASH. Few case onset with vertigo, epileptic manifestations, devil＇s grip of lurnbocrural pain. The symptoms are not typical in aged group, and the misdiagnosis isn＇t a little. CT is a rapid and safe technique with high positive rate for the diagnosis of SAH.
出处
《实用全科医学》
2005年第6期535-535,共1页
Applied Journal Of General Practice
