| CT与腰穿在诊断原发性蛛网膜下腔出血中的互补作用 |
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| 引用本文： | 姚丽英,邢江,罗艳春,姚丁. CT与腰穿在诊断原发性蛛网膜下腔出血中的互补作用[J]. 中国民康医学, 2014, 0(4): 74-75 |
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| 作者姓名： | 姚丽英 邢江 罗艳春 姚丁 |
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| 作者单位： | 内蒙古乌兰察布市中心医院,内蒙古乌兰察布012000 |
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| 摘 要： | 目的:探讨CT与腰穿在诊断原发性蛛网膜下腔出血(SAH)中的作用。方法:回顾性分析62例SAH的临床资料。结果:CT诊断SAH的阳性率在发病24h内为89%,以后随着时间的推移而明显下降;临床高度怀疑SAH而CT阴性的病例,腰穿仍是主要诊断手段。结论:CT与腰穿诊断SAH各有优势与缺陷,可以互为补充;初诊首选CT,必要时结合腰穿,以避免漏诊误诊。
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| 关 键 词： | 蛛网膜下腔出血 诊断 CT 腰穿 |
Complementation of CT and lumbar puncture in diagnosis of primary subarachnoid hemorrhage |
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| Affiliation: | YAO Li-ying, XING Jian, LUO Yan-chun, et al(Wulanchabu Central Hospital, Inner Mongolia 012000, China) |
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| Abstract: | Objective：To investigate the role of CT and lumbar puncture in diagnosis of primary subarachnoid hemorrhage（SAH）. Methods：The clinical data of 62 SAH patients were analyzed retrospectively. Results： The positive rate of CT in the diagnosisof SAH was 89% in 24 hours, and then it decreased obviously as time gone on. To the patient with suspect SAH but negative CT, lum-bar puncture was the chief measure for the diagnosis. Conclusions： In the diagnosis of SAH, CT and lumbar puncture both have superi-ority and defects, and may replenish each other. The first choice is CT, and CT combined with lumbar puncture are used if necessaryso as to avoid wrong and missed diagnosis. |
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| Keywords: | Subarachnoid hemorrhage Diagnosis CT Lumbar puncture |
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