CAJ | 학술논문

目的通过对21例经过手术的自发性小脑出血病例的回顾性分析，以期提高对此病的手术治疗水平。方法 21例病例，行侧脑室前角穿刺外引流3例，行后颅窝开颅清除血肿14例，开颅清除血肿后又行侧脑室前角穿刺引流术4例。结果术后死亡6例，饮水呛咳2例，发音障碍4例，交通性脑积水1例，无后遗症7例。结论对小脑出血病人尽早实施手术治疗是阻断继发性病理改变最有效的手段。
목적통과대21례경과수술적자발성소뇌출혈병례적회고성분석，이기제고대차병적수술치료수평。방법 21례병례，행측뇌실전각천자외인류3례，행후로와개로청제혈종14례，개로청제혈종후우행측뇌실전각천자인류술4례。결과술후사망6례，음수창해2례，발음장애4례，교통성뇌적수1례，무후유증7례。결론대소뇌출혈병인진조실시수술치료시조단계발성병리개변최유효적수단。
Objective　For heightening horizon of surgical management 21 cases with spontaneous hemorrhage of cerebellum were retrospectively analysed.Methods　In the 21 patients with spontaneous hemorrhage of cerebellum,3 cases were treated by paraventriculostomy of anterior horn,14 cases by scavenging intracerebral hemorrhage of cerebellum through posterior cranial fossa approach,after scavenging intracerebral hemorrhage 4 cases were treaded by paraventriculostomy of anterior horn.Results　6 cases were died after operation,2 cases supervened dysdipsia,4 cases supervened dysphonia,1 case supervened communicating hydrocephalus and 7 cases without any complications.Conclusion　The most effective means of preventing subsequent pathological process that patient with spontaneous hemorrhage of cerebellum is operation which is carried out as early as possible.