自发性小脑出血的外科治疗

Surgical treatment of spontaneous cerebellar hemorrhage

自发性小脑出血约占所有脑出血病例的10%和所有小脑卒中病例的15%,30 d病死率在30%~50%之间.小脑出血患者可因血肿增大和(或)脑干受压而迅速恶化导致昏迷和死亡.因此,血肿清除术是自发性小脑出血的首选治疗方法,特别是血肿直径>3 cm以及伴有脑干受压或脑积水的小脑出血患者.

Spontaneous cerebellar hemorrhage accounts for about 10% of all cases of cerebral hemorrhage and 15% of all cases of cerebellar stroke.The mortality is about 30%-50% in 30 d after onset.Patients with cerebellar hemorrhage can rapidly deteriorate due to enlarged hematoma and/or brain stem compression,leading to coma and death.Therefore,hematoma evacuation is the preferred treatment for spontaneous cerebellar hemorrhage,especially in patients with hematoma diameter>3 cm and accompanied by brainstem compression or hydrocephalus.