Chin D, Carney P
Surg Neurol. 1983 May;19(5):406-9. doi: 10.1016/0090-3019(83)90135-0.
Twenty six cases of cerebellar hemorrhages were reviewed and analyzed. Two patients were comatose on admission and showed clinical evidence of brainstem compression; they were successfully revived after evacuation of the hematomas. This was in contrast with six other comatose patients who did not have evacuation and subsequently died within 48 hours. The other eight cases of so-called benign cerebellar hemorrhage ran a more benign course and recovered without any operative procedures. It is suggested that prompt diagnosis with computed tomography, even in comatose patients, and immediate removal of the hematoma in this group, might result in a better prognosis with this highly lethal condition.
对26例小脑出血病例进行了回顾和分析。两名患者入院时昏迷，并有脑干受压的临床证据；血肿清除术后成功苏醒。这与另外6名未进行血肿清除术的昏迷患者形成对比，他们随后在48小时内死亡。其他8例所谓的良性小脑出血病程较为良性，未经任何手术治疗即康复。提示即使对于昏迷患者，通过计算机断层扫描进行快速诊断，并立即清除该组患者的血肿，可能会使这种高致死性疾病获得更好的预后。
