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小脑出血占脑实质出血的6％～10％。现总结经CT证实的16例老年人小脑出血报道如下。 1 临床资料 1.1 一般资料 男11例,女5例,年龄为60～78岁之间。70岁以上者5例,有高血压动脉硬化者13例(81.3％),血脂升高者9例(56.4％),10例合并冠心病(62.5％),5例合并糖尿病(31.3％)。 1.2 起病情况 活动或情绪激动时发病10例,静态下起病6例,发病后血压高于正常者14例(占87.5％),血压波动在160～248/95～128mmHg。 1.3 临床表现 头晕、呕吐11例(68.8％),眩晕8例(50％),共济失调7例(43.8％),意识障碍5例(31.3％)。一侧巴彬斯基征8例(50％),昂白征及眼震7例(43.8％),颈强5例(31.3％),一侧肌张力减低者6例(37.5％),周围性面瘫4例(25％),构音障碍者3例(18.8％),偏瘫2例(12.5％)。
Cerebellum hemorrhage accounted for 6% of brain parenchymal bleeding 10%. Now summarized by CT confirmed 16 cases of cerebellar hemorrhage reported as follows. 1 Clinical data 1.1 General Information 11 males and 5 females, aged between 60 to 78 years old. There were 5 cases over 70 years of age with hypertension in 13 cases (81.3%), hyperlipemia in 9 cases (56.4%), 10 cases with coronary heart disease (62.5%) and 5 cases with diabetes (31.3%). 1.2 onset of illness or emotional activity when the onset of 10 cases, 6 cases of static onset, the incidence of hypertension than normal in 14 cases (87.5%), blood pressure fluctuations in the 160 ~ 248/95 ~ 128mmHg. 1.3 Clinical manifestations dizziness, vomiting in 11 cases (68.8%), dizziness in 8 cases (50%), ataxia in 7 cases (43.8%), disturbance of consciousness in 5 cases (31.3%). 8 cases (50%) had Babinski sign on one side, 7 cases (43.8%) had angina and nystagmus, 5 cases (31.3%) had neck acuity and 6 cases (37.5% 4 cases of facial palsy (25%), 3 cases of dysarthria (18.8%) and 2 cases of hemiplegia (12.5%).