对21例小脑出血作了临床分析,其中血肿<8ml的13例,>8ml的8例。无论血肿是大还是小临床确诊均不易,脑CT扫描几不可少。6例作了血肿清除术,血肿平均体积26ml,5例治愈,1例死亡。13例血肿<8ml者病情稳定,经内科保守治疗12例治愈,1例死亡。另2例血肿分别为12ml及35ml亦经保守治疗治愈。提示对小脑半球内小量出血保守治疗是可行的。 21 cases of cerebellar hemorrhage were analyzed, including 13 cases of hematoma <8ml, 8ml> 8ml. Whether the hematoma is large or small clinical diagnosis is not easy, brain CT scanning is essential. Six patients underwent hematoma resection. The average volume of hematoma was 26ml, 5 cases were cured and 1 died. 13 cases of hematoma <8ml were stable, conservative treatment of 12 cases cured, 1 case of death. The other two cases of hematoma were 12ml and 35ml were also cured by conservative treatment. Prompt conservative treatment of small hemorrhage in the cerebellar hemispheres is feasible.