脑梗塞和脑出血是神经内科常见急症之一,其病残率和病死率均高。临床工作中对脑梗塞与脑出血的部分病例鉴别诊断甚为困难。腰穿虽可作为鉴别诊断参考,但对颅内压增高和后颅凹出血仍列为相对禁忌,对小量包绕性脑出血腰穿也未必能与脑梗塞鉴别。近年来有关计量计分法与临床诊断符合率的比较陆续有报道,但正误率各家报道不一。CT扫描在地县级医院尚未普及的情况下,为寻求更为符合临床实际的方 Cerebral infarction and intracerebral hemorrhage are one of the common acute neurological diseases. Their morbidity and mortality are both high. Clinical diagnosis of cerebral infarction and cerebral hemorrhage in some cases is very difficult to identify. Although the waist wear can be used as a differential diagnosis of reference, but increased intracranial pressure and posterior cranial hemorrhage is still listed as a relative contraindication, a small amount of ICH lumbar puncture may not be identified with cerebral infarction. In recent years, the measurement of scoring and clinical diagnosis in line with the rate of succession have been reported, but the positive and false rate of different reports. CT scan in the county hospital has not yet been popularized, in order to seek more in line with the clinical side