自发性小脑出血临床与治疗回顾性研究

Retrospective Study of the Clinical Character and Treatment of Spontaneous Cerebellum Hemorrhage

目的研究自发性小脑出血的临床与治疗特点。方法回顾性分析56例自发性小脑出血的临床表现、影像学特点、内科保守治疗疗效。结果小脑半球出血占46例(82.1%),17例患者行MRA发现血管畸形2例(11.76%),动脉瘤1例(5.88%),未作影像学检查前曾误诊8例(14.29%),存活46例(82.1%)。结论自发性小脑出血易误诊,早期内科保守治疗效果较好,青年型小脑出血患者建议进行磁共振血管造影(MRA)检查。

Objective To study the clinical characteristics and treatment of spontaneous cerebellum hemorrhage. Methods The clinical symptom, imaging features, curative effect of conservative treatment of 56 patients with spontaneous cerebellum hemorrhage were analyzed retrospectively. Results 46 cases were hemorrhaged in cerebellar hemisphere, 2 cases were blood vessel malformation and 1 case was angioma proved by magnetic resonance angiography, 8 cases were diagnosed by mistake because of no image examination. 46 cases were survival. Conclusions Spontaneous cerebellum hemorrhage was liable to mistaking diagnosis. Conservative treatment was effective in early. Young patient with spontaneous cerebellum hemorrhage was suggested to have magnetic resonance angiography .