脑出血的准确诊断除详细询问病史及体检外,有条件时应根据病情选用辅助检查,以进一步明确病变性质、部位、脑破坏程度及估计预后。脑出血的辅助检查较多,本文着重谈近年来诊断进展,对某些重要检查作简要说明。一、脑超声波检查: A型脑超声波检查对急性脑血管病早期诊断有一定价值。脑血管病发病后数小时,如果中线波移位明显,以脑出血或瘤卒中可能性大。有人指出,脑出血中线波移位的阳性率达92.5％,若显示尖波或多棘性血肿波时,更有助于与梗塞性脑血管病鉴别。在脑出血昏迷病人定位体征不明确时,它可协 Accurate diagnosis of intracerebral hemorrhage In addition to detailed history and physical examination, when conditions should be based on the condition of the auxiliary examination to further clarify the nature of the lesion, the extent of brain damage and prognosis. Auxiliary examination of cerebral hemorrhage more, this article focuses on the diagnosis of progress in recent years, a brief description of some important checks. First, the brain ultrasound: A-type brain ultrasound for early diagnosis of acute cerebrovascular disease have some value. A few hours after the onset of cerebrovascular disease, if the midline wave shift obvious, cerebral hemorrhage or tumor stroke possibility. It was pointed out that the positive rate of intracranial hemorrhage in line wave shift 92.5%, if the spike wave or more spikes show hematoma, but also help identify with infarction cerebrovascular disease. In patients with cerebral hemorrhage unconscious positioning signs are not clear, it can be Association