老年人蛛网膜下腔出血(SAH)容易误诊,我院自1987～1996年收治60岁以上SAH 176例,其中误诊18例。分析、报告如下。 1 临床资料 1.1 一般资料 本组误诊18例中,男11例,女7例,男女之比为1.6∶1;年龄60～69岁10例,70～79例5例,80～89例3例。活动下发病11例,诱因有:情绪激动、饮酒、劳累、咳嗽、排便等,7例于安静状态下发病。 1.2 症状及体征 头痛10例,其中剧痛2例,轻度头 Subarachnoid hemorrhage (SAH) in the elderly is easily misdiagnosed. In our hospital, 176 cases of SAH over the age of 60 were treated from 1987 to 1996, of which 18 were misdiagnosed. Analysis, report as follows. 1 Clinical data 1.1 General Information The group of misdiagnosed 18 cases, 11 males and 7 females, male to female ratio was 1.6: 1; aged 60 to 69 years in 10 cases, 70 to 79 cases in 5 cases, 80 to 89 cases in 3 cases . Activities in the onset of 11 cases, incentives are: emotional, drinking, tiredness, cough, defecation, etc., 7 cases of onset in a quiet state. 1.2 Symptoms and signs Headache in 10 cases, including 2 cases of severe pain, mild head