【摘要】 目的 分析研究小脑出血神经内科保守治疗方法，以提高治愈率。方法 对小脑出血的治疗采取“两短一长”全程不少于3周的脱水降颅压，提前防治并发症的治疗方案、进行总结分析。结果 本组116例小脑出血治愈81例(70%);显效25例(21.5%);死亡10例(8.6%)。治疗过程中并发枕骨大孔疝(Foramen magnan hernia FMH)10例，抢救成功6例，死亡4例。感染16例，均治愈。应激性胃溃疡伴出血26例，治愈22例，重度出血死亡4例。并发急性左心衰(心衰Ⅲ级)2例死亡。结论 对小脑出血的治疗坚持“两短一长”的脱水降颅压，提前防治并发症、严防FMH的形成，确保心肾功能正常高效。对保守治疗小脑出血、具有极其重要的临床意义。

    关键词 脑出血 枕骨大孔疝 并发症

    Clinical therapies of cerebellar hemorrhage:An analysis of116cases

    Zhang Guangrong，Zhang Lin，Li Wenying，et al.

    Department of Neurology，Huabei Peroleum Hosptial，Renqiu062552

    【Abstract】 Objective To analyze the department of neurolgy therapeutic methods of cerebellar hemorrhage in order to improve the rate of healing.Methods The therapies of cerebellar hemorrhage and the therapeutic methods of adopting“two short-term and one long-term”with whole course no less than3weeks and dehysrating and decreasing intracranial pressure and preventing and treating complications beforehand.Results Among116cases of the group，81healed(70%)，25obviously affected(21.5%)，10died(8.6%).During the treatment，10cases had complication of formen magnan hernia ......