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目的 探讨小量脑出血的早期诊断。方法 对４４例经ＣＴ证实的大脑半球小量（≤１０ｍ ｌ）脑出血患者的发病形式和临床表现进行分析，并与同期住院的脑出血（＞ １０ｍ ｌ）和脑梗死患者作对照。结果 本组患者颅内压增高症状少，肢体功能障碍轻。临床误诊达７３％ ，误治达６１、５％ 。在头痛、呕吐、颈抵抗、意识障碍及双侧巴氏征阳性方面与脑出血组有极显著差异（Ｐ＜ ０．０１），而与脑梗死组差异不显著（Ｐ＞ ０．０５）；在既往无卒中史，活动时起病及发病时血压高等方面与脑出血组比无显著差异（Ｐ＞ ０．０５），而与脑梗死组比有显著或极显著性差异（Ｐ＜ ０．０５～０．０１）。结论 小量脑出血早期不易诊断，需ＣＴ检查方能确诊。
Objective To investigate the early diagnosis of small amount of cerebral hemorrhage. Methods The morbidity and clinical manifestations of 44 patients with small cerebral hemorrhage (≤10m l) confirmed by CT were analyzed and compared with those of patients with cerebral hemorrhage (> 10m l) and cerebral infarction in hospital during the same period. Results This group of patients with less symptoms of increased intracranial pressure, limb dysfunction light. Clinical misdiagnosis amounted to 73%, 61,5%. There was a significant difference (P <0.01) between cerebral hemorrhage group and headache, vomiting, cervical resistance, disturbance of consciousness and bilateral positive B - cell sign, but no significant difference with cerebral infarction group (P> 0.05). There was no significant difference (P> 0.05) between the former stroke history and the onset of onset and onset of hypertension, and the latter in cerebral infarction group (P <0.05). 05 ~ 0.01). Conclusion Small amount of early cerebral hemorrhage is not easy to diagnose, to be confirmed by CT examination.