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报告７３例老年小脑出血患者的临床特点及ＣＴ表现，男４８例，女２５例，年龄６０～８１岁，平均６６．７岁。有高血压史５３例，糖尿病史７例，冠心病史１３例。临床表现：眩晕５９例（８０．８％），头痛５３例（７２．６％），呕吐５３例（７２．６％），共济失调４７例（６４．４％），言语障碍２９例（３９．７％）。体征：眼球震颤３１例（４２．４％），强迫头位２４例（３２．９％），凝视麻痹２２例（３０％），面瘫２３例（３１．５％），克氏征（＋）２２例（３０％），巴氏征（＋）２１例（２８．８％）。ＣＴ检查：外侧型出血４２例、中间型１４例、混合型１７例，血肿直径≥３ｃｍ２１例，四脑室受压变形２３例，三脑室及侧脑室积血１１例。内科保守治疗５２例，痊愈４０例，好转４例，死亡８例。手术清除血肿２１例，痊愈１５例，好转３例，死亡３例。提示及时明确诊断并采取切实有效的治疗措施是抢救老年人小脑出血患者成功的关键。
Report of 73 cases of elderly patients with cerebellar hemorrhage clinical features and CT findings, 48 males and 25 females, aged 60 to 81 years, mean 66.7 years. 53 cases of history of hypertension, 7 cases of history of diabetes, history of coronary heart disease in 13 cases. Clinical manifestations: vertigo in 59 cases (80.8%), headache in 53 cases (72.6%), vomiting in 53 cases (72.6%), ataxia in 47 cases (64.4%), speech impairment in 29 cases 39.7%). Signs: nystagmus in 31 cases (42.4%), forced head position in 24 cases (32.9%), staring paralysis in 22 cases (30%), facial paralysis in 23 cases (31.5% Twenty-two patients (30%) and 21 patients (28.8%) had Papanicolaou (+). CT examination: 42 cases of lateral hemorrhage, 14 cases of intermediate type, 17 cases of mixed type, 21 cases of hematoma diameter ≥ 3cm, 23 cases of fourth ventricle compression deformation, 11 cases of third ventricle and lateral ventricle hemorrhage. Conservative medical treatment in 52 cases, 40 cases were cured, improved in 4 cases, 8 patients died. Surgical removal of hematoma in 21 cases, 15 cases were cured, improved in 3 cases, 3 patients died. Tip timely and clear diagnosis and take effective treatment measures is the key to the success of the rescue of patients with cerebellar hemorrhage in the elderly.