老年人慢性硬膜下血肿误诊原因分析

Misdiagnosis of Chronic Subdural Hematonas in Elders

目的 探讨老年人慢性硬膜下血肿误诊原因,为临床正确诊治提供参考。方法 对1995年1月—2003年1月在我院就诊的132例老年慢性硬膜下血肿患者的临床资料进行回顾性分析。结果 132例中有30例存在不同程度的误诊,其中误诊为急性脑血管病者11例,老年性痴呆者10例,脑动脉硬化者4例,脑炎2例,丛集性头痛2例,蛛网膜下腔出血1例。结论 老年人慢性硬膜下出血极易误诊。为减少误诊,应提高对本病的认识,详细询问病史,认真查体及常规头颅CT检查。

Objective To explore the cause of chronic subdural hematonas in elders,and provide the help to the clinical diagnosis and treatment Methods The clinical charactristicas and cause of misdiagnosis of 30 elders with chronic subdural hematonas were analygsed from January 1995 to January 2003. Results Of the 30 elders, 11 were misdiagnosis as acute cerebrovascular disease,10 as senile dementia,4 as cerebral arteriosclerosis,2 as encephalitis, 2 as cluster headache and 1 as subarachnoid hemorrhage. Conclusion The chronic subdural hematonas in elders is very easy to be misdiagnosed. An intensive recognition of the disease. Careful investigation and CT scanning are very important to reducing misdiagnosis.