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我们自1991～1998年共收治小脑出血62例,其中60岁以上36例,占58.1％。现对其临床特点进行分析,报道如下。1 临床资料1.1 一般资料 本组36例,男27例,女9例。年龄60～82岁,平均68.5岁,其中60～69岁29例,70～82岁17例。有明确高血压史者21例(58.33％),糖尿病史4例,脑梗塞史5例,脑出血史1例。1.2 临床表现 均急性起病,其首发症状为眩晕、呕吐者25例。头痛、呕吐者11例。意识清楚31例,嗜睡3例,昏迷2例。语言含糊不清16例。饮水呛咳2例。轻偏瘫4例,共济失调9例,水平性眼球震颤15例。双侧瞳孔缩小3例,不等大1例,凝视麻痹22例,面瘫8例,脑膜刺激征阳性7例。
We have treated 62 cases of cerebellar hemorrhage from 1991 to 1998, of which 36 cases were over the age of 60, accounting for 58.1%. Now analyze its clinical features, reported as follows. 1 Clinical data 1.1 General Information The group of 36 patients, 27 males and 9 females. Aged 60 to 82 years, mean 68.5 years, of which 60 to 69 years in 29 cases, 70 to 82 years in 17 cases. 21 cases (58.33%) had a history of definite hypertension, 4 cases had history of diabetes mellitus, 5 cases history of cerebral infarction and 1 case history of cerebral hemorrhage. 1.2 Clinical manifestations were acute onset, the first symptom of vertigo, vomiting in 25 cases. Headache, vomiting in 11 cases. Consciousness in 31 cases, drowsiness in 3 cases, coma in 2 cases. 16 cases of vague language. Choking cough in 2 cases. Hemiplegia in 4 cases, ataxia in 9 cases, 15 cases of horizontal nystagmus. Bilateral miosis in 3 cases, ranging from 1 case, staring paralysis in 22 cases, 8 cases of facial paralysis, positive meningeal irritation in 7 cases.