外伤性小脑出血的诊治

Diagnosis and Treatment of Traumatic Cerebellar Hemorrhage

目的:探讨外伤性小脑出血的临床特点及治疗策略。方法:回顾分析2006年至2011年间本院收治的外伤性小脑出血的26例患者的临床资料。结果:保守治疗7例,死亡4例;存活者出院GOS平均5分;手术治疗19例,死亡2例,存活者出院平均GOS4.7分。结论:外伤性小脑出血与幕上脑损伤在临床表现上存在不同;手术清除血肿、后颅窝减压、脑室外引流可以改善预后,提高生存;治疗应结合脑干等合并损伤的情况确定手术策略。预后随合并的脑干损伤程度有所差异。

Objective： To explore the clinical features and management of patients with traumatic cerebellar hemorrhage（TCH） Methods：The clinical data of 26 patients who were treated in our hospital from 2006 to 2011.Results：7 patients without operation,3 survive~ and discharged with the average GOS 5＇, 4 died. 19 patients accepted operation,2 died,others survived and discharged with the average GOS 4.7＇.Conclusions：TCH is different to the Supratentorial brain injury in Clinical manifestations operation including Removing the hematoma, Posterior fossa decompression and external ventricle drainage can improve the outcome and reduce the death.The treatment shoud be decidec by the traumatic condition,brainstem injury especially.The outcome is different because of the damage to brainstem.