老年人原发性蛛网膜下腔出血误诊原因临床分析

目的探讨老年人蛛网膜下腔出血误诊原因。方法对我院1998～2007年60岁以上原发性蛛网膜下腔出血误诊原因进行回顾性分析。结果本组误诊率为43.8%,常误诊为高血压、颈椎病、脑炎、上呼吸道感染、腔隙性脑梗塞、癫痫、上消化道出血、椎动脉型TIA。结论对该病的早期认识有助于及时诊断和治疗,降低死亡率及致残率。

Objective To discuss the misdiagnosis＇ reasons of subarachnoid hemorrhage of the elderly. Methods To retrospective analyze the misdiagnosis＇ reasons of primary subarachnoid hemorrhage about the patients who are elder than 60-year of Suining Central Hospital during 1998-2007. Results The misdiagnosis rate of this group is 43.8%. Usurally, this disease is be misdiagnosed as hypertension, cervical spondylosis, upper respiratory tract infection, lacunar infarction, epilepsia, upper gastrointestinal hemorrhage, TIA（arteriae vertebralis type）. Conclusion The early recognition of this disease is helpful for diagnosing and treating in time, depressing the mortality rate and the Disability rate.