腰穿及头颅CT在诊断原发性蛛网膜下腔出血中的作用 |
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引用本文: | 毛思中. 腰穿及头颅CT在诊断原发性蛛网膜下腔出血中的作用[J]. 重庆医科大学学报, 2001, 26(2): 195-196 |
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作者姓名: | 毛思中 |
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作者单位: | 重庆医科大学第二临床学院神经内科 |
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摘 要: | 目的:了解腰穿及头颅CT在诊断原发性蛛网膜上腔出血中的作用,方法:分析62例初诊为原发性蛛网膜下腔出血(其中60例为原发性蛛网膜下腔出血,1例为误诊为原发性蛛网膜下腔出血的脑叶出血,1例为误诊为原发性蛛网膜下腔出血的Jackson癫痫)的临床,要穿及CT检查,结果:原发性蛛网膜下腔出血CSF异常在发病后10天内的阳性率为100%,11-15天为89%,21-30天为45%,CT检查的阳性率,发病48h内为100%,3-5天内的为80%,5天以后的阳性率很低,结论:腰穿与CT检查对诊断原发性蛛网膜下腔出血各有利弊,两者结合可提高诊断的正确性和减少误诊。
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关 键 词: | 原发性蛛网膜下腔出血 腰穿 头颅CT 诊断 |
文章编号: | 0253-3626(2001)02-0195-02 |
修稿时间: | 2000-02-25 |
Use of the lumbar puncture and CT in diagnosis of primary SAH |
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Abstract: | Objective: To investgate the use of the lumber puncture and CT in diagnosis of primary SAH. Methods: Clincal data and lumbar puncture and CT of 60 patients with primary SAH, 1 patient with cerebral lobar hemorrhage and 1 patient with Jackson,s epilepsis were analysed. Both cases were wrong erraneously diagnosed as primary SAH. Results:The postive rate of CSF is 100% in 10 days,89% in 11 to 15 days , 45% in 21 to 30 days after coming on of primary SAH.The positive rate of CT is 100% in 48 hours ,80% in 3 to 5 days and is very lower after 5 days coming on of primary SAH. Conclusion: Either lumbar puncture or CT has advantage and deficiency in diagnosis of primary SAH. The combination of lumbar puncture and CT can increase correctness and decrease wrong diagnosis. |
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