小脑梗塞

Cerebellar infarction

报道了经ＣＴ或ＭＲ确诊的３５例小脑梗塞，占同期脑梗塞总数的３．３％，其中男２４例、女１１例，男女之比２．１：１，平均年龄６０．５岁。可能病因主要为高血压动脉硬化，其次为心源性因素．１例手术治疗预后良好，３４例保守治疗者死亡１１例，病死率为３２．３％，死亡病人均为合并脑干梗塞或并发梗阻性脑积水者。结合文献，对本病的临床诊断、分型，治疗及预后等方面进行了讨论。

A series of 35 patients with cerebellar infarc tion were studied. The rate of cerebellar infarction accounted for 3.3% in 1056 infarctions of brain di agnosed by CT or MRI. The major causes included hypertention arteriosclerosis, heart disorders. Only one was treated by surgical intervention and got well improvement. The mortality rate was 32.3%in 34 conservative management (11/34). Refering to the other papers, the diagnosis, treatment, and prognosis of cerebellar infarction are discussed.