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目的分析30例误诊为眩晕症的小脑出血的临床症状以及治疗方法。方法对30例误诊为眩晕症的小脑出血患者进行头颅CT扫面.观察患者的临床表现以及诊断和治疗结果 .结果小脑出血患者的临床症状主要为出现头晕、恶心.呕吐等.与眩晕症类似.对患者进行头颅CT检查并且采取内科保守治疗和外科手术以及引流术.30例患者中死亡3例,发生共济失调症状者8例.结论小脑出血的症状与眩晕症临床表现类似.诊断时警惕小脑出血的可能.密切观察患者的临床症状和体征.进行仔细的查体和头颅CT检查.为小脑出血争取治疗时间。
Objective To analyze the clinical symptoms and treatment of 30 cases of cerebellar hemorrhage misdiagnosed as vertigo. Methods Thirty patients with cerebellar hemorrhage misdiagnosed as vertigo were examined by CT scan.Results The clinical manifestations, diagnosis and treatment results of patients with cerebellar hemorrhage were observed.Results The clinical symptoms of cerebellar hemorrhage were mainly dizziness, nausea, vomiting, etc. Similar to vertigo .There were craniofacial CT examination and conservative medical treatment and surgery as well as drainage.30 patients died in 3 cases and ataxia occurred in 8 cases.Conclusion The symptoms of cerebellar hemorrhage are similar to the clinical manifestations of vertigo.Diagnosis Guard against the possibility of cerebellar hemorrhage. Close observation of the patient’s clinical symptoms and signs. Careful examination and cranial CT examination for treatment of cerebellar hemorrhage for treatment time.