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总结366例以脑卒中收住院的患者,其中有10例确诊为脑肿瘤,误诊率为2.73%。误诊原因为:(1)忽略了急性脑血管病的卒中过程;(2)重视影像学表现,轻视临床症状及体征;(3)诊断脑梗死时未考虑到是哪一支血管的病变;(4)未考虑到在头部CT上急性和慢性占位性病变其间接征象的不同。
Summary 366 patients admitted to hospital with stroke, of which 10 were diagnosed as brain tumors, the misdiagnosis rate was 2.73%. The causes of misdiagnosis are as follows: (1) the stroke process of acute cerebrovascular disease is ignored; (2) the imaging performance is emphasized and the clinical symptoms and signs are ignored; (3) the diagnosis of cerebral infarction is not taken into account which is the vascular lesion; 4) No consideration is given to the difference in indirect signs of acute and chronic space-occupying lesions on the head CT.