20例小量脑出血临床误诊与CT分析

Misdiagonosis and CT imagines of mild cerebral hemorrhage

目的:探讨电子计算机断层扫描(CT)对诊断小量脑出血的意义。方法:选择20例误诊为脑梗死,后经CT确诊为小量脑出血的病例,对其资料进行分析。结果:CT证实脑内不同部位有小量出血灶,血肿最小0.5 mL,最大7.4 mL。结论:小量脑出血仅根据临床表现很难做出诊断,尽早行脑CT是确诊的关键。

Objective： To discuss the significance of CT imagines in the diagnosis of mild cerebral hemorrhage. Methods： 20 cases of CT imagines verified mild cerebral hemorrhage which were misdiagnosed as cerebral infarction were analyzed. Results： Mild hematoma ranged from 0.5 mL to 7.4 mL volumes in different parts of the cerebra were detected by CT imagines. Conclusion ： As it is not easy to diagnose mild cerebral hemorrhage according to clinical manifestations, CT scan should be performed as soon as possible in order to make definite diagnosis.