小脑出血42例诊疗体会

目的探讨小脑出血的临床诊断和治疗体会。方法回顾分析42例小脑出血患者临床表现及治疗效果。结果42例患者中有32例痊愈或好转,5例患者死亡,5例病情恶化。结论小脑出血临床表现多样,典型的小脑体征易被掩盖导致误诊,早期的CT或MR检查可确诊。出血量少,病情稳定者,内科保守治疗有效;出血量大(血肿直径>3cm)及症状加重者应积极争取手术。

Experience of Treating 42 Cases of Cerebellar Hemorrhage

Objective To explore the clinical manifestation and treatment of cerebellar hemorrhage.Methods 42 cases of cerebellar hemorrhage were studied retrospectively by exploring the clinical manifestation and the outcome of therapy.Results 32 cases recovered,5 cases died and 5 cases deteriorated.Conclusions There are varied clinical manifestation in patients with cerebellar hemorrhage.The typical symptoms and signs are easily ignored and often lead to misdiagnosis.The early CT or MR scan is helpful for definite diagnosis.For patients with large volume of hemorrhage(diameter >3 cm) and aggravated symptoms the surgery should be applied actively,and for those with small hematoma the conservative treatment is effective.