42例小脑出血的临床分析

Clinical analysis of 42 cases of cerebellum hemorrhage

目的探讨小脑出血的病因、临床表现、治疗方法及临床效果。方法回顾性总结本科近5年收治的42例小脑出血的临床资料及治疗方法,并进行综合分析。结果小脑出血的主要病因是高血压、动脉硬化;临床表现复杂多样;出血量小于15mL,采用保守治疗,大于15mL,采用侧脑室引流加微创小脑血肿清除术;小脑出血血肿量小于5mL预后良好,大于25mL预后极差。结论小脑出血量、有无脑干受压及破入四脑室是决定治疗方法和预后的关键因素。

Objective To study the reason,clinical manifestations,treatment methods and clinical effects of hemorrhage in cerebellum.Methods Clinical information and treatment methods of 42 cases of cerebellum hemorrhage treated by us in recent 5 years were retrospectively analyzed.Results The main reasons of cerebellum hemorrhage were hypertension and arteriosclerosis.Clinical features were complex and diverse.When bleeding amounts less than 15 mL,they were given conservative treatment and when bleeding amounts higher than 15 mL,they were treated by lateral ventricle drainage and minimally invasive surgery.Bleeding amounts less than 5 mL had a good prognosis;when higher than 25 mL prognosis was very poor.Conclusion Bleeding amounts,compressing brain stem or not and whether hemorrhage disrupting into the fourth ventricle are key factors of treatment method selection and prognosis judgment.