急性脑血管病临床诊断、量表诊断与CT诊断对比研究

A COMPARATIVE STUDY ON DIAGNOSIS OF ACUTE CEREBRAL VASCULAR DISEASES BY CT,CLNICAL AND GRAPHIC METHOD

目的 :探讨冯周琴Ⅱ型表对急性脑血管病 (ACVD)的诊断价值。方法 :对 93例ACVD病患者的CT检查诊断、临床诊断、量表诊断进行对比分析。结果 :量表诊断与CT检查诊断符合率 74 19% (6 9/ 93) ;临床诊断与CT检查诊断符合率 5 3 80 % (5 0 / 93) ;量表诊断符合率显著高于临床诊断 ;对大面积脑梗死、少量脑出血或无症状性脑出血定性诊断有较大误差。结论 :量表诊断与CT检查诊断比较 ,具有快速、实用、符合率高的优点 ,在基层医院CT检查尚不能普及时 ,对ACVD定性诊断。

OBJECTIVE:To explore value of Fong Zhouqing Graph Ⅱ in diagnosing acute cerebral vascular diseases(ACVD). METHOD:Diagnostic results of 93 patients with ACVD by CT,clinical and graphic method were analysed.RESULTS:Diagnostic matching rate between CT and graphic method was 74.10%(69/93),while was 53.90%(50/93) between CT and clinical method.The former was remarkably higher than the later.But graphic method had higher misdiagnostic rate in large range cerebral infarction,minimum cerebral hemorrhage or asymptomatic hemorrhage.CONCLUSION:Graphic method is a fast,practical diagnostic technique for ACVD and it is especially useful in rural hospital without CT equipment.