摘要
目的分析探讨脑肿瘤卒中误诊为脑出血的原因以及诊治方法。方法对我科近5a来收治的16例误诊为脑出血的脑肿瘤卒中患者的临床资料进行回顾性分析。结果 16例患者中男10例,女6例;12例急性起病,4例亚急性起病;头部CT检查表现为高密度血肿影周围伴有不同程度低密度水肿影,其中均匀高密度病灶6例,不规则混杂密度灶10例;最终经病理检查明确诊断为:胶质瘤10例,脑膜瘤4例,转移瘤2例。经手术、放疗等综合治疗后13例好转出院,3例死亡。结论脑肿瘤卒中初诊时易被误诊为脑出血,详细询问病史和仔细分析影像学特征可减少误诊。
Objective To investigate the causes of brain tumors apoplexy misdiagnosed as cerebral hemorrhage.Methods The data of 16 patients with brain tumor apoplexy misdiagnosed as cerebral hemorrhage in our hospital in recent 5 years were retrospectively analyzed.Results In 16 cases,10 cases were male and 6 cases were female;12 cases were acute onset and 4 cases were subacute onset;The head CT scan showed that there was low degree of different density shadow around the high density shadow,which had 6 cases of uniform high density lesions and 10 cases of mixed density focal;The results of pathological examination were 10 cases of gliomas,4 cases of meningioma and 2 cases of metastatic tumor;There were 13 cases improved and 3 cases died.Conclusion Brain tumor apoplexy is easily misdiagnosed as cerebral hemorrhage,however,detailed history and careful analysis of imaging characteristics can reduce misdiagnosis.
出处
《中国实用神经疾病杂志》
2013年第16期37-38,共2页
Chinese Journal of Practical Nervous Diseases
关键词
脑肿瘤卒中
脑出血
误诊
Brain tumor apoplexy
Cerebral hemorrhage
Misdiagnose
