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我们自1992年1月至1999年11月收治经CT或MRI确诊的小脑出血56例病人,现结合临床诊疗分析报告如下。1 病因 自发性小脑出血的主要病因是高血压性动脉硬化,其次是脑动静脉畸形、肿瘤、动脉瘤及血液病等。①高血压性动脉硬化:本组占76.9％(43/56),发病多在劳动或情绪波动等引起血压变化情况下出现。②脑血管畸形:本组占10.7％(6/56),次于高血压,最易合并出血。③肿瘤:本组占7.1％(4/56),引起出血的原因可能是瘤体生长活跃对血管产生推移和牵拉使血管破裂,也可直接侵蚀血管壁造成出血。④其他:占5.2％(3/56),抗凝治疗、血液病等均可引起小脑出血。
We from January 1992 to November 1999 were treated by CT or MRI confirmed 56 cases of cerebellar hemorrhage patients, are combined with clinical diagnosis and treatment reports are as follows. 1 causes of spontaneous cerebellar hemorrhage is the main cause of hypertensive arteriosclerosis, followed by cerebral arteriovenous malformations, tumors, aneurysms and blood diseases. ① hypertensive arteriosclerosis: This group accounted for 76.9% (43/56), the incidence of labor or mood swings caused by changes in blood pressure occurs. ② cerebrovascular malformations: The group accounted for 10.7% (6/56), followed by high blood pressure, the most common bleeding. ③ Tumor: The group accounted for 7.1% (4/56), the cause of bleeding may be the tumor growth of active vascular movement and pull the rupture of blood vessels, but also direct erosion of the blood vessels causing bleeding. ④ other: accounting for 5.2% (3/56), anticoagulant therapy, blood diseases can cause cerebellar hemorrhage.