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自发性小脑出血占全部脑出血的10％,具有极高的死亡率,必须尽早做出诊断,因为许多患者于发病后48h内死亡。人们公认外科治疗是挽救小脑出血患者生命的重要手段,有人认为血肿对脑干的挤压是患者病情恶化的主要原因,建议手术清除血肿;有人则认为梗阻性脑积水是病情恶化的主要原因,应行侧脑室引流。本文对50例自发性小脑出血患者的诊断治疗进行了研究,着重评价了梗阻性脑积水与意识状况、血肿大小、外科治疗及病人最后转归的重大关系。
Spontaneous cerebellar hemorrhage, which accounts for 10% of all intracerebral hemorrhage, has a very high mortality rate and must be diagnosed as soon as possible, since many patients die within 48 hours of onset. It is recognized that surgical treatment is an important means of saving the lives of patients with cerebellar hemorrhage. Some people think that hematoma squeezing the brain stem is the main reason for the worsening of the patient’s condition. Surgery is recommended to remove the hematoma. Some people think that obstructive hydrocephalus is the main reason for the worsening of the disease , Should be lateral ventricle drainage. In this paper, 50 cases of spontaneous cerebellar hemorrhage in patients with diagnosis and treatment were studied, focusing on the evaluation of obstructive hydrocephalus and consciousness, hematoma size, surgical treatment and the patient’s prognosis of the major relationship.