脑卒中为内科常见急诊之一,其病死率及病残率均高。临床上的部分脑出血与脑梗塞病例鉴别甚为困难。腰穿虽可作为临床鉴别诊断,但对颅内增高及后颅凹出血仍列为相对禁忌,对小量包绕性脑出血,腰穿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 Stroke is one of the most common emergency department of internal medicine, its mortality and morbidity are high. Part of the clinical diagnosis of cerebral hemorrhage and cerebral infarction is very difficult. Although the lumbar puncture can be used as a clinical differential diagnosis, but increased intracranial and posterior cranial hemorrhage is still listed as a relative contraindication, a small amount of wrap around cerebral hemorrhage, lumbar puncture may not be identified with cerebral infarction. In recent years, the comparison between the metrological scoring method and clinical diagnosis coincidence rate has been reported in succession