自发性脑出血的临床特征与预后探讨

Analysis of clinical feature and prognosis in cerebellum hemorrhage

目的 :对 5 1例自发性小脑出血患者进行临床分析 ,从而进一步探讨其临床特点及预后。方法 :总结 5 1例自发性小脑出血的临床特点 ,结合文献复习对其临床表现、血肿部位、大小、波及范围、血压及预后间的关系进行分析。结果 :首发症状为眩晕呕吐 ,主要病因为高血压病 ,蚓部血肿及入院时收缩压大于 2 0 0mmHg、血肿大于3cm者预后差 ,平均血压与预后无相关性。结论 :小脑出血预后与血肿部位、大小、波及范围及血压密切相关。有规律服药可减轻小脑出血的严重程度。

Objective:To analys is 51 cases of spontaneous cerebellum hemorrhages and discusses their clinical feature as well as prognosis.Methods:From the clinical feature of 51 cases of spontaneous cerebellum hemorrhage combined with the review of literature,we did the association analysis among the clinical manifestation,location of the hematoma,size,areas of damages,blood pressure,as well as prognosis.Results:Prognosis is poor among the patients of vertigo and vomiting as initial symptom,hypertension as its major etiology,hematoma in vermis,systolic pressure above 200 mmHg in admission,diameter greater than 3 cm.There is a association between mean blood pressure and prognosis.Conclusions:Prognosis of cerebellum hemorrhage is closely related to the location of hemorrhage,size,area involved as well as blood pressure.Regular medication could decrease the severity from cerebellum hemorrhage.