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诊断通常依据突发性剧烈头痛、呕吐、意识障碍、脑膜刺激症及血性脑脊液,一般都可迅速作出正确诊断。在临床上可由于警惕性不高或考虑欠周,对某些症状体征的分析不当,对辅助检查过分依赖或判断欠妥,造成某些病例的漏诊或误诊。大致有下列几种情况。1.非典型的临床表现:脑膜刺激征是临床诊断的重要体征之一,于起病数小时至10多小时出现,国内报告的病例约占8O%。在轻型患者可因无意识障碍、
Diagnosis is usually based on sudden severe headache, vomiting, disturbance of consciousness, meningeal irritation and bloody cerebrospinal fluid, which can generally be quickly and correctly diagnosed. Clinically due to vigilance is not high or consider lack of weeks, the analysis of some symptoms and signs inappropriate, over-reliance on auxiliary examinations or defective, resulting in some cases of misdiagnosis or misdiagnosis. The following general situation. 1. Atypical clinical manifestations: meningeal irritation is one of the important clinical signs of diagnosis, a few hours to onset more than 10 hours, the domestic report of about 8O% of cases. In light patients may be due to unconsciousness,