小脑出血误诊为椎基底动脉供血不足12例分析

Analysis of 12 Cases with Cerebellar Hemorrhage Misdiagnosed as Vertebro-basilar Artery Insufficiency

目的通过对小脑出血误诊为椎基底动脉供血不足的原因分析,进一步提高小脑出血的诊断准确率。方法对我院2003年8月至2008年1月收治入院的小脑出血病例进行回顾性分析,找出在住院过程中将其误诊为椎基底动脉供血不足的主要原因。结果共有12例小脑出血病人误诊为椎基底动脉供血不足。造成误诊的主要原因与医生对小脑出血的认识不足、临床体格检查不仔细、患者临床症状缓解时间较快以及未及时行头颅CT检查有关。结论仔细进行体格检查、及时头颅CT检查和专科医生治疗是减少小脑出血误诊为椎基底动脉供血不足的关键。

Objective To analyze the cause of misdiagnosis of cerebellar hemorrhage as verlebro - basilar artery insufllciency so as to raise the rate of correct diagnosis of cerebellar hemorrhage. Methods A retrospective analysis was made to the hospitalized patients with cerebellar hemorrhage from March, 2003 to Jan., 2008 and found out the main causes of misdiagnosis as vertebro - basilar artery insufficiency Results 12 cases with cerebellar hemorrhage were misdiagnosed to vertebro - basilar artery insufliciency, the main causes of misdiagnosis were related to the lack of recognition, careless physical examination, the quick relief of clinical symptoms and the delay of skull .CT scanning. Conclusions Careful physical examination, immediate skull CT scanning and specialized treament are the key to decrease the misdiagnosis of cerebellar hemorrhage as vertebro - basilar artery insuffciency.