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目的 :探讨自发性小脑出血患者的临床表现及CT扫描情况。方法 :回顾性分析 1991年 1月~1999年 11月 31例经临床及CT证实为自发性小脑出血患者病例。结果 :临床上最常见症状为眩晕、呕吐、头痛 ,最常见体征为共济失调、眼球震颤、克氏征阳性、巴氏征阳性 ,CT检查外侧型出血 2 3例、中间型 6例、混合型 2例 ,8例破入脑室 ,15例脑干轻度受压。结论 :血肿的大小 ,严重意识障碍的存在对手术取舍有相当重要的意义。
Objective: To investigate the clinical manifestations and CT scan of patients with spontaneous cerebellar hemorrhage. Methods: A retrospective analysis of January 1991 to November 1999 in 31 cases of clinical and CT confirmed cases of spontaneous cerebellar hemorrhage. Results: The most common clinical symptoms were vertigo, vomiting and headache. The most common signs were ataxia, nystagmus, positive Klebs’ sign, positive Pap test, 23 cases of lateral hemorrhage on CT, 6 cases of intermediate type Type 2 cases, 8 cases broke into the ventricle, 15 cases of mild compression of the brain stem. Conclusion: The size of hematoma and the existence of serious disturbance of consciousness have very important meanings for surgical selection.