【摘要】 目的 探讨小脑出血的临床症状、CT、治疗及预后之间的关系。方法 收集28例小脑出血病例，临床表现以头痛、呕吐、眩晕及共济失调为主要症状，均行头颅CT检查。结果 CT检查血肿直径≤4cm或出血量≤15ml者，不论保守治疗或早期手术治疗其预后均较好;血肿直径≥4cm，出血量≥15ml，昏迷时间长者则预后差。结论 小脑出血的预后与出血量的多少，昏迷时间的长短及治疗是否及时密切相关。

    关键词 小脑出血 临床诊断 CT 治疗

    Clinical analysis on28cases with spontaneous cerebellar hemorrhage

    Shen Meihua

    The Central Hospital of Nanhui District，Shanghai201300.

    【Abstract】 Objective The clinical diagnosis of cerebellar hemorrhage was difficult and the prognosis was bad with high mortality.We analyzed the relationship among the clinical manifestation，CT imaging，treatment and prognoˉsis of cerebellar hemorrhage.Methods 28cases of cerebellar hemorrhage with headache，vomiting and vertigo as clinˉical manifestations werecollected.All the patients were examined by CT imaging.Results In patients with hematoma diameter≤4cm or hemorrhage volume≤15ml ......