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目的深入探讨小脑梗死的病因、临床表现、影像学改变、诊断及治疗。方法对1998年10月至2008年10月我院收治的50例小脑梗死患者的临床资料进行回顾性分析。结果小脑梗死的病因及危险因素主要为高血压病及心脏病。眩晕、小脑性共济失调是最主要的临床症状。此外,头颅CT在诊断小脑梗死上受到一定限制,头颅MRI有很高的确诊率。本组总体预后好,45例经内科保守治疗,5例行外科手术治疗,总治愈率48.0%,病死率4.0%,脑疝为主要死因。结论小脑梗死宜早诊断、早治疗,头部MRI确诊小脑梗死优于头部CT,一般采用内科保守治疗,重视脱水治疗,及时复查头颅CT,病情严重者应外科手术,防治脑疝。
Objective To investigate in depth the etiology, clinical manifestations, imaging changes, diagnosis and treatment of cerebellar infarction. Methods The clinical data of 50 patients with cerebellar infarction admitted to our hospital from October 1998 to October 2008 were retrospectively analyzed. Results The etiology and risk factors of cerebellar infarction were mainly hypertension and heart disease. Dizziness, cerebellar ataxia is the most important clinical symptoms. In addition, head CT in the diagnosis of cerebellar infarction is subject to certain limitations, the head MRI has a high diagnosis rate. The overall prognosis of this group, 45 cases of conservative treatment by internal medicine, 5 cases of surgical treatment, the total cure rate was 48.0%, the mortality rate of 4.0%, hernia as the main cause of death. Conclusion Cerebellar infarction should be diagnosed and treated as early as possible. The diagnosis of cerebellar infarction on the head MRI is better than that of the head CT. Conservative medical treatment is generally used, and dehydration therapy is emphasized. Head CT should be reviewed in time. In severe cases, surgery should be performed to prevent and cure hernia.