摘要
目的探讨慢性扩展性颅内血肿(chronic expanding intracerebral hematoma,CEICH)临床、影像、病理特点,误诊原因及防范措施。方法对我院近期收治的术前有不同程度误诊的CEICH 3例的临床资料进行回顾分析。结果本文3例分别因头痛伴恶心、呕吐,颅外伤术后间断低热、言语不清及肢体无力,记忆力减退、右侧肢体无力入院。术前分别误诊为星形细胞瘤、脑脓肿和肺癌脑转移,均行手术治疗,经术后病理检查确诊。术后均恢复良好。结论 CEICH临床罕见,误诊率高。提高对其认识、积极进行相关医技检查及注重临床经验积累等可减少CEICH误诊。
Objective To discuss clinical, radiological and pathological features of chronic expanding intracerebral hematoma （ CEICH） , and analyze causes of misdiagnosis for making preventive measures. Methods The clinical data of three patients with CEICH recently treated in our hospital and misdiagnosed preoperatively was retrospectively analyzed. Re-sults In this paper, three cases were admitted for headache, nausea, vomiting, intermittent fever, slurred speech and weak-ness, memory decline or right limb weakness after surgery of traumatic brain injury. They were misdiagnosed as astrocytoma, brain abscess and brain metastasis of lung cancer, respectively. Furthermore, they underwent surgery treatment and were con-firmed by pathological examination. Good outcomes were obtained in all patients. Conclusion CEICH is clinically rare, so its misdiagnosis rate is high. In order to reduce the misdiagnosis of CEICH, we need to improve our understanding, actively carry out relevant examinations and focus on accumulations of clinical experience.
出处
《临床误诊误治》
2014年第11期54-57,共4页
Clinical Misdiagnosis & Mistherapy
关键词
血肿
颅内
扩展性
误诊
星形细胞瘤
脑脓肿
Hematoma,intracranial,expanding
Diagnostic errors
Astrocytoma
