中华脑血管病杂志(电子版)2023,Vol.17Issue(4) :369-372.DOI:10.11817/j.issn.1673-9248.2023.04.011

误诊为脑梗死且险些溶栓的急性自发微量脑出血一例

Acute spontaneous trace amount cerebral hemorrhage misdiagnosed as cerebral infarction and nearly thrombolysis: a case report

赵暾 徐霁华 何有娣 鲁明
中华脑血管病杂志(电子版)2023,Vol.17Issue(4) :369-372.DOI:10.11817/j.issn.1673-9248.2023.04.011

误诊为脑梗死且险些溶栓的急性自发微量脑出血一例

Acute spontaneous trace amount cerebral hemorrhage misdiagnosed as cerebral infarction and nearly thrombolysis: a case report

赵暾 1徐霁华 1何有娣 1鲁明1
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作者信息

  • 1. 100020 首都医科大学附属北京朝阳医院神经内科
  • 折叠

摘要

微量脑出血尽管表现出的临床症状轻微,在头部CT上显影不清,并且因其表现出的症状与腔隙性脑梗死非常相似,经常被按照临床经验诊断,存在较多漏诊、误诊。作者回顾性分析了1例合并球结膜出血的、表现为单纯感觉障碍的、被误诊为脑梗死的微量脑出血患者的病历资料,以期加深临床医师对微量脑出血的认识。

Abstract

Despite presenting with minor clinical signs, microcerebral hemorrhage is poorly seen on CT. It is frequently diagnosed based on clinical experience because it presents with symptoms extremely similar to lacunar cerebral infarction, and many instances are therefore ignored or misdiagnosed. To improve clinicians' understanding of microcerebral hemorrhage, authors retrospectively analysed the medical records of a patient with simple sensory disturbance acomplicated by a subconjunctival haemorrhage that was misdiagnosed as a cerebral infarction.

关键词

脑出血,微量/结膜下出血/磁共振成像/磁敏感加权序列

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出版年

2023
中华脑血管病杂志(电子版)
中华医学会

中华脑血管病杂志(电子版)

CSTPCD
影响因子:0.5
ISSN:1672-9248
参考文献量2
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