文献报导约有10%的脑内出血发生于小脑,如不经治疗其死亡率甚高。由于这些病人的病情常可迅速恶化且可能为紧急手术所挽救,早期的及正确的诊断是必要的。为了争取抢救时间,近来许多学者倡导对临床上疑为小脑出血的病人可以不经放射检查确诊即行紧急手术治疗。为此,本文对33例最初疑为或最后确诊为小脑出血的病例重新进行了分析,以鉴定临床估价的可靠性。 It has been reported in the literature that about 10% of intracerebral hemorrhage occurs in the cerebellum, and there is a high mortality rate without treatment. Since the condition of these patients can often deteriorate rapidly and may be saved for emergency surgery, early and correct diagnosis is necessary. In order to win the rescue time, many scholars advocate recent clinical suspicion of patients with cerebellar hemorrhage can be confirmed without radiological examination that is urgent surgical treatment. To this end, the 33 cases initially suspected or finally diagnosed as cerebellar hemorrhage were re-analyzed in order to identify the reliability of clinical evaluation.