目的探讨非典型脑出血的早期诊断。方法对无任何瘫痪表现的脑出血病例的临床资料作回顾性分析。结果对年龄较大的或有高血压病史者当出现头痛、恶心、呕吐、头晕等症状,而未能及时行头颅CT检查,导致误诊者是主要原因。结论提高对非典型脑出血的认识和重视,对年龄在50岁以上或原有高血压病史突然出现头痛、头晕、恶心、呕吐等症状而无瘫痪者应常规进行CT检查,可达早期诊断的目的。 Objective To investigate the early diagnosis of atypical cerebral hemorrhage. Methods The clinical data of cerebral hemorrhage without any paralysis were analyzed retrospectively. The results of older or have a history of hypertension when headache, nausea, vomiting, dizziness and other symptoms, but failed to timely head CT examination, leading to misdiagnosis is the main reason. Conclusion To improve awareness and attention to atypical intracerebral hemorrhage, CT examination should be conducted routinely for patients over 50 years of age or with sudden onset of headache, dizziness, nausea, vomiting and other symptoms in the history of hypertension, which can be diagnosed early purpose.