摘要： 回顾性分析102 例自发性小脑出血患者临床资料。其中内科保守治疗66 例，外科手术治疗36 例；两组治疗有效率分别为83.33％（55/66）和75.00％（27/36），病死率为16.67％（11/66）和16.67％（6/36），组间差异无统计学意义（χ2 = 4.168，P = 0.124）。提示应根据患者小脑出血严重程度采取不同的治疗方法，有利于对患者临床表现及病情变化的评价及降低病死率。

关键词: 脑出血, 小脑, 药物疗法, 神经外科手术

Abstract: Clinical data of 102 patients with spontaneous cerebellar hemorrhage were retrospectively analysed. Sixty-six patients were treated by medical therapy (group A), and 36 patients by surgical operation (group B). In group A the therapeutic effective rate was 83.33% (55/66), and mortality was 16.67% (11/66), while in group B was 75.00% (27/36) and 16.67% (6/36) respectively. No significant differences were seen between both groups ( χ 2 = 4.168, P = 0.124). Reasonable treatment for cerebellar hemorrhage should be selected according to the clinical condition changes, the CT image on the site of bleeding and bleeding volume.

Key words: Cerebral hemorrhage, Cerebellum, Drug therapy, Neurosurgical procedures