无CT条件下怎样提高脑出血和脑血栓形成的诊断正确率(附57例临床初诊分析及计量诊断评价)

How to improve confirmed diagnostic rate of cerebral hemorrhage and thrombosis without CT-Analysis of first clinical visit and quantitative diagnosis of 57 cases

为提高脑出血和脑血栓形成的诊断正确率,对57例脑血管病患者的CT前临床初诊、计量诊断与CT诊断进行比较,同时结合临床表现进行分析。发现临床初诊脑出血的诊断正确率很低(44.4%),误诊的主要原因是临床表现不典型。与临床初诊相比,计量诊断可明显提高脑出血的诊断正确率(P<0.05),总诊断正确率亦高于临床初诊(但u=1.4267、P>0.05)。计量诊断在无CT条件的基层医院有较大的应用价值。

The first clinical visit and quantitative diagnosis in 57 cases of cerebrovascular disease before CT were compared with CT diagnosis and the clinical manifestations were also analyzed. Results showed that the confirmed rate in diagnosis of cerebral hemorrhage at first visit was very low (44.4%); the main cause of misdiagnosis was the atypical clinical manifestation. Compared with first clinical visit, quantitative diagnosis could obviously improve the con- firmed rate(P<0.05); the total confirmed diagnostic rate was also higher than that of first clinical visit(but u=1.4267, P>0.05). It is thought that quantita- tive diagnosis be of applied value in the grass-roots hospitals without CT.