目的 :对自发性小脑出血的临床表现、CT结果及治疗转归进行分析研究。方法 :总结 86例自发性小脑出血患者的临床及CT资料。结果 :本病多见于 6 0岁以上 ,以高血压为主要病因 ;临床表现包括小脑本身损害及邻近组织受压 ;预后与出血量相关 ;手术治疗良好率与内科保守治疗未见明显差异 ,但手术组良好者出血量明显高于内科保守治疗组 (P <0 .0 5 )。结论 :CT是目前诊断自发性小脑出血的最好方法 ;小脑出血的手术指征不应过于放宽 ,应综合考虑 ;出血量大于 15ml者内科保守治疗和出血量大于 2 5ml者外科手术治疗的死亡率均很高 Objective: To analyze the clinical manifestations, CT findings and treatment outcomes of spontaneous cerebellar hemorrhage. Methods: The clinical and CT data of 86 patients with spontaneous cerebellar hemorrhage were summarized. Results: The disease more common in patients over the age of 60, with hypertension as the main cause; clinical manifestations include damage to the cerebellum and adjacent tissue compression; prognosis and bleeding related; good surgical treatment and medical conservative treatment no significant difference, The amount of bleeding in the surgery group was significantly higher than that in the conservative treatment group (P <0.05). Conclusions: CT is the best method to diagnose spontaneous cerebellar hemorrhage. The indications of cerebellum hemorrhage should not be too relaxed, and should be considered synthetically. The conservative treatment of bleeding more than 15ml and the death of more than 25ml surgical treatment The rates are high