小脑出血的临床表现不尽一致,早期诊断困难,常易误诊。现将我们所见3例报道如下。1 病例介绍 例1,男性,57岁,因头晕伴恶心、呕吐(咖啡色胃内容物)2小时收住院。入院查体:血压26/14kpa,心率95次/分,腹软,无压痛,肝脾未触及,肠鸣音活跃,神志清,双瞳孔缩小,光反应存在,眼底正常,颅神经检查正常,颈软,四肢肌力V,肌张力低,病理征未引出。呕吐物潜血阳性,诊断为上消化道出血。给以 The clinical manifestations of cerebellar hemorrhage are not consistent, early diagnosis difficult, often misdiagnosed. Now we see 3 cases reported below. A case introduction Example 1, male, 57 years old, dizzy with nausea, vomiting (brown stomach contents) admitted to hospital for 2 hours. Admission examination: blood pressure 26 / 14kpa, heart rate 95 beats / min, abdominal soft, no tenderness, liver and spleen not touched, active bowel sounds, clear consciousness, double miosis, photoreaction, fundus, normal cranial nerve examination, Neck soft, limb muscle strength V, low muscle tone, pathological levy did not lead. Vomit occult blood positive diagnosis of upper gastrointestinal bleeding. give