脑出血致视物变形误诊为精神障碍四例报告薛乃杨以视物变形为首发症状的脑出血误诊为精神障碍疾患较为少见，现报告４例如下。例１女，４２岁。高血压病史２０年。１９９５年一天与邻友打麻将突然兴奋话多，说：“我的手变大了”，过一会又说：“我的手变小了。”诊断精神... Intracerebral hemorrhage caused by visual distortion as misdiagnosed as four cases of mental disorders Xue Nai Yang to visual distortion as the first symptom of cerebral hemorrhage misdiagnosed as mental disorders are rare, are reported in 4 cases as follows. Example 1 Female, 42 years old. Hypertensive history of 20 years. One day in 1995, I was suddenly excited about playing mahjong with my neighbors. She said: “My hand is getting bigger.” After a while, I said: “My hand is smaller.”