| 摘要: |
| ［摘要］ 目的 探讨高血压性小脑出血的病因、发病机制及治疗方法。方法 对2007-02～2015-03该院收治的高血压性小脑出血患者45例的临床资料进行回顾性分析。结果 45例患者经住院治疗11～32 d，随访3～6个月。按照格拉斯哥预后分级（GOS）评估预后，恢复良好28例，中残13例，重残2例，植物生存0例，死亡2例。在中残的13例中，1例保守治疗过程中出现病情恶化而转外科手术治疗，病情好转，术后恢复至中残；2例死亡病例有慢性阻塞性肺疾病或2型糖尿病，治疗中死于重症肺部感染。结论 依据小脑血肿量、血肿直径及意识状态严格把握内科治疗指征，动态密切监测下个体化选择治疗方案、积极治疗，并加强与神经内外科医师合作，病情进展者积极手术治疗，把握抢救时机，可最大限度挽救患者生命，改善患者预后，提高生存质量，降低病死率。 |
| 关键词: 小脑出血 内科治疗 |
| DOI：10.3969/j.issn.1674-3806.2016.09.19 |
| 分类号:R 743.34 |
| 基金项目: |
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| The experience of diagnosis and treatment of hypertensive cerebellar hemorrhage: a report of 45 cases |
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NING Rong-qun, YAN Wei-min, HU Li-ming, et al.
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The First Department of Internal Medicine, the People′s Hospital of Lingchuan County, Guangxi 541299, China
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| Abstract: |
| ［Abstract］ Objective To investigate the etiology, pathogenesis and treatment of hypertensive cerebellar hemorrhage.Methods The clinical data of 45 cases with hypertensive cerebellar hemorrhage treated in our hospital from February 2007 to March 2015 were retrospectively analyzed.Results All the patients were hospitalized for 11 to 32 days and followed up for 3 to 6 months. According to GOS classification, there were 28 cases with good effects,13 cases with moderate disability, 2 cases with severe disability, 0 case with vegetative survival and 2 cases died. In the 13 cases with moderate disability, 1 case had to be transfered to surgical treatment and 2 cases died because of the primary chronic obstructive pulmonary disease or type 2 diabetes.Conclusion The patients with hypertensive cerebellar hemorrhage should be treated according to the medical indications induding hematoma size and state of consciousness and treated with individualized treatments under the carefully dynamic monitoring. |
| Key words: Cerebellar hemorrhage Medical treatment |
