硬膜下脓肿误诊为脑梗死1例临床分析
摘要
<正>1病例资料患者,男,46岁,因嗜睡1 d,言语不清伴右侧肢体活动不灵5 h入院。患者因嗜睡到当地医院就诊,无言语障碍及肢体活动障碍,行头部CT及血化验检查后诊断为"脑梗死、糖尿病",给予胰岛素降糖治疗。次日晨起后发现言语不清及右侧肢体活动不灵而转至我院治疗。病程中无发热,无恶心、呕吐,无抽搐。入院时查体:体温:37.0℃,血压:112/78mmHg。听诊双肺呼吸音粗。意识清楚,不完全性混合性失语,右侧肢体肌力3级,双侧腱反射对称存在,双侧病理征阴
引文
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[3]王勉,高金华,吴高远,等.硬膜下脓肿的诊断与治疗[J].中华神经创伤外科电子杂志,2016,(2):97-99.
[4]魏翔泰,曲圣涛,吕涛,等.硬膜下脓肿12例分析[J].中国误诊学杂志,2009,(15):3740-3741.
[5]方维东,罗天友,吕发金,等.DWI在颅内硬膜下脓肿诊断中的应用价值[J].临床放射学杂志,2009,(01):17-19.
[6]Younis RT,Anand VK,Davidson B.The role of computed tomographyand magnetic resonance imaging in patients with sinusitiswith complications[J].Laryngoscope,2002,112:224-9.
[7]Viola S,Montoya G,Arnold J.Streptococcus pyogenes subdural empyema not detected by computed tomography[J].Int J Infect Dis,2009,13(1):e15-17.
[8]Mehmet O,Mehmet S,Numan K,et al.Rapidly progressing interhemispheric subdural empyema showing a three-fold increase in size within12 hours:Case report[J].Surg Neurol Int,2016,7(Suppl 37):S872-S875.
[9]王勉,高金华,吴高远,等.硬膜下脓肿的诊断与治疗[J].中华神经创伤外科电子杂志,2016,(2):97-99.
[10]王宝.硬膜下脓肿误诊报告[J].临床误诊误治,2006,(6):40-41.
[11]张长庆.硬膜下脓肿误诊2例分析[J].中国误诊学杂志,2008,(20):4797.