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非外伤性慢性硬脑膜下血肿32例,误诊时间20天~2年,误诊为缺血性中风6例,高血压病5例,误诊为老年性痴呆、脑动脉硬化、颈椎病、颅内肿瘤各3例,病毒性脑炎、出血性中风、癫痫、SAH各2例,帕金森综合征1例。确诊后及时行钻孔血肿清除,闭锁引流治愈31例,死亡1例。误诊原因:过份强调外伤史;老年患者的精神症状为主要表现;与其它慢性疾病混淆以及CT检查的局限性等。
Non-traumatic chronic subdural hematoma in 32 cases, misdiagnosis time 20 days to 2 years, misdiagnosed as ischemic stroke in 6 cases, 5 cases of hypertension, misdiagnosed as senile dementia, cerebral arteriosclerosis, cervical spondylosis, intracranial tumors 3 cases in each case, 2 cases of viral encephalitis, hemorrhagic stroke, epilepsy and SAH, 1 case of Parkinson’s syndrome. Drudge hematoma was removed in time after the diagnosis, 31 cases were cured by blocking drainage and 1 died. Causes of misdiagnosis: excessive emphasis on history of trauma; psychiatric symptoms in elderly patients as the main performance; confusion with other chronic diseases and the limitations of CT examination.