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目的了解小脑出血的病因及出血量与临床、治疗和转归的关系。方法对32例小脑出血的病例进行回顾性分析。结果 40岁以上的小脑出血病因以高血压为主,临床表现为小脑损害及邻近结构受压两大类,其表现与出血量和部位有关。结论出血量<5ml,主要表现小脑损害;出血量>5ml,除小脑损害,可伴脑干及脑室受压的表现;小脑蚓部出血>5ml 时,出现意识障碍,小脑半球出血>10ml 时,才产生意识障碍;出血量>15ml 预后不良,出血量>40ml 多不能存活。小脑出血<10ml 宜内科治疗,出血量>10ml 应积极采取手术治疗。
Objective To understand the causes of cerebellar hemorrhage and the relationship between bleeding and clinical, therapeutic and prognosis. Methods 32 cases of cerebellar hemorrhage were retrospectively analyzed. Results The etiology of cerebellar hemorrhage over 40 years old was mainly hypertension. The clinical manifestations were cerebellar damage and compression of adjacent structures. The performance was related to the amount of bleeding and the location. Conclusions The amount of bleeding <5ml, the main performance of cerebellar damage; bleeding> 5ml, except cerebellar damage, with brainstem and ventricular compression performance; cerebellar vermis bleeding> 5ml, disturbance of consciousness, hemisphere cerebellar hemorrhage> 10ml, Only produce disturbance of consciousness; bleeding> 15ml poor prognosis, more than 40ml bleeding can not survive. Cerebellar hemorrhage <10ml should be medical treatment, bleeding> 10ml should be actively taken surgical treatment.