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自发性小脑血肿的诊断和治疗总结
引用本文:刘隆熙,赵广祚,于广杰,刘万梁. 自发性小脑血肿的诊断和治疗总结[J]. 青岛医药卫生, 1996, 0(2)
作者姓名:刘隆熙  赵广祚  于广杰  刘万梁
作者单位:青岛市第二人民医院 266033(刘隆熙,赵广祚,于广杰),青岛市第二人民医院 266033(刘万梁)
摘    要:总结14例小脑血肿,平均年龄45岁(26~73)岁,认为有诊断意义的临床表现为进行性头痛呕吐、强迫体位及共济失调等。选择外科治疗时不应以血肿径线为绝对指标,更重要的是脑干受压或急性梗阻性脑积水。外科手段有脑室外引流、血肿穿刺溶血引流及开颅手术等。

关 键 词:自发性小脑血肿  梗阻性脑积水  外科治疗

The Diagnosis and Treatment for Spontenous Cerebellar Hematoma: Analysis of 14 Cases
Liu Longxi,et al.. The Diagnosis and Treatment for Spontenous Cerebellar Hematoma: Analysis of 14 Cases[J]. QINGDAO Medical Journal, 1996, 0(2)
Authors:Liu Longxi  et al.
Affiliation:Liu Longxi,et al. The Second People's Hospital of Qingdao,Qingdao,266033
Abstract:A series of 14 cases with spontenous cerebellar hematorna has been analysedretrospectively. The patients were 45 years in average ranging from 26 to 73 years. For diagnosis, the more instructive presentations were headache, vomiting, positional limiting and ataxia in progressive condition. For surgery, the determinant should be based on the development of hydrocephalus or/and dysfunction of brain stem, not the single indicator in diameter of hematoma. Also, the surgical treatment has to be individualized, including ventriculo-centisis, burr-hole evacuation of hematoma and suboccipital craniectomy for removing the hemafoma.
Keywords:Spontenous cerebellar hematorna Obstructive hydroencephalus Surgical trament
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