Firsching R, Huber M, Frowein R A
Department of Neurosurgery, University of Cologne, Fed. Rep. of Germany.
Neurosurg Rev. 1991;14(3):191-4. doi: 10.1007/BF00310656.
Of 26 patients with CT confirmed intracerebellar haematoma, 17 had ventricular drainage performed and 7 patients had the haematoma evacuated. Eleven patients died. Mortality was clearly related to state of consciousness. Seven out of 8 non-comatose patients survived but 10 out of 18 comatose patients died. As there was no incidence of deterioration immediately following placement of a ventricular drainage, the actual risk of upward transtentorial herniation seemed low. Absence of evoked potentials in 6 patients accurately predicted a fatal outcome but normal SEP and BAEP were of lesser value for predicting survival.
在26例经CT证实为小脑出血的患者中，17例行脑室引流，7例血肿清除。11例患者死亡。死亡率与意识状态明显相关。8例非昏迷患者中有7例存活，但18例昏迷患者中有10例死亡。由于脑室引流后未立即出现病情恶化，小脑幕切迹上疝的实际风险似乎较低。6例患者诱发电位缺失准确预测了致命结局，但体感诱发电位（SEP）和脑干听觉诱发电位（BAEP）正常对预测生存的价值较小。
