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目的:探讨轻中型颅脑损伤后低颅压综合征误诊原因及防止误诊对策。方法:回顾性分析9 a间误诊的23例患者的临床资料。结果:23例患者均误诊为高颅压综合征,后根据临床特点和腰穿测压确诊为低颅压综合征,经治疗所有病例均痊愈出院。结论:轻中型颅脑损伤后低颅压综合征临床表现与高颅压综合征相类似,极易引起误诊;防止误诊关键在于提高对轻中型颅脑损伤后低颅压综合征的病因及临床表现特点的认识。
Objective: To investigate the causes of misdiagnosis of low intracranial pressure syndrome after mild to moderate traumatic brain injury and to prevent misdiagnosis measures. Methods: The clinical data of 23 patients misdiagnosed during 9 years were analyzed retrospectively. Results: Twenty-three patients were misdiagnosed as intracranial hypertension syndrome. According to the clinical features and lumbar puncture manometry, intracranial hypotension syndrome was diagnosed. All cases were cured after treatment. Conclusion: The clinical manifestations of intracranial hypertension syndrome after mild to moderate traumatic brain injury are similar to those of intracranial hypertension, which can easily cause misdiagnosis. The key to prevent misdiagnosis is to improve the etiology and clinical significance of intracranial hypotension syndrome after mild to moderate traumatic brain injury Performance characteristics of the understanding.