自发性小脑出血的外科治疗  

Surgical treatment of spontaneous cerebellar hemorrhage

作　　者：陈海秀 刘智 宋娟 Chen Haixiu;Liu Zhi;Song Juan(Department of Cardiothoracic Surgery,the People's Hospital of Hengshui,Hengshui 053000,China;Department of Neurosurgery,the People's Hospital of Hengshui,Hengshui 053000,China)

机构地区：[1]衡水市人民医院心胸外科,053000 [2]衡水市人民医院神经外科,053000

出　　处：《国际脑血管病杂志》2020年第4期309-313,共5页International Journal of Cerebrovascular Diseases

摘　　要：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.

关 键 词：脑出血 小脑疾病 小脑 血肿 神经外科手术 治疗结果 

分 类 号：R651[医药卫生—外科学]