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自发性小脑出血约占全部脑出血的5～13%。笔者在450例脑出血病例中发现13例,约占3%。文献报告70%的小脑出血是高血压、动脉硬化所致,其次是动静脉畸形、血液病、动脉瘤和应用抗凝药物等原因。本病的临床表现不尽一致,早期临床诊断困难,因为严重者立即昏迷,有些定位体征不能查出,轻者又可能无显著症状。本文就其诊断和治疗提供参考意见。
Spontaneous cerebellar hemorrhage accounts for about 5 to 13% of all intracerebral hemorrhage. I found in 450 cases of cerebral hemorrhage in 13 cases, accounting for about 3%. Reported in the literature 70% of cerebellar hemorrhage is caused by hypertension, arteriosclerosis, followed by arteriovenous malformations, blood diseases, aneurysms and the use of anticoagulants and other reasons. The clinical manifestations of the disease are not consistent, early clinical diagnosis is difficult because of severe coma immediately, some of the positioning signs can not be found, the light may not have significant symptoms. This article provides reference for its diagnosis and treatment.