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创伤性颅内血肿的误诊与漏诊

Misdiagnosis and delayed diagnosis in traumatic intracranial haematoma.

作者信息

Galbraith S

出版信息

Br Med J. 1976 Jun 12;1(6023):1438-9. doi: 10.1136/bmj.1.6023.1438.

Abstract

Out of 51 patients with traumatic intracranial haematoma admitted to a teaching hospital 11 (22%) died undiagnosed, and out of 307 such patients transferred to the West of Scotland Regional Neurosurgical Centre 111 (36%) had been deteriorating for more than 12 hours in another hospital. In two-thirds of these cases the delay was due to an erroneous diagnosis, either of cerebrovascular accident or of alcoholic intoxication.

摘要

在一家教学医院收治的51例创伤性颅内血肿患者中,有11例(22%)未被诊断出来就死亡了;而在转至苏格兰西部区域神经外科中心的307例此类患者中,有111例(36%)在另一家医院病情恶化超过12小时。在这些病例中,三分之二的延误是由于误诊,要么误诊为脑血管意外,要么误诊为酒精中毒。

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