小脑出血临床并不少见,由于临床表现多种多样,缺乏特异性,易造成误诊或漏诊。小脑与脑干、第四脑室等结构相邻,小脑出血可导致脑干受压、梗阻性脑积水,病情危重,及时正确的诊断与治疗非常重要。我院自1996年以来共收治小脑出血27例,结合文献资料分析报告如下。1 临床资料1.1 一般资料男性17例,女性10例。年龄51～81岁,平均67岁,其中50～59岁5例,60～69岁12例,70～79岁8例,大于80岁2例,有高血压病史21例,冠心病史4例,发病2 h～3 d 入院。1.2 CT 检查全部病人均行头颅 CT 检查。出血 Clinical cerebellar hemorrhage is not uncommon, due to a variety of clinical manifestations, the lack of specificity, easily lead to misdiagnosis or missed diagnosis. Cerebellum and brain stem, the fourth ventricle and other structures adjacent to the cerebellar hemorrhage can lead to compression of the brainstem, obstructive hydrocephalus, critically ill, timely and correct diagnosis and treatment is very important. Our hospital since 1996, a total of 27 cases of cerebellar hemorrhage, combined with the literature analysis report is as follows. 1 Clinical data 1.1 General information 17 males and 10 females. The patients were 51 to 81 years old with an average of 67 years. Among them, 5 cases were 50-59 years old, 12 cases were 60-69 years old, 8 cases were 70-79 years old and 2 cases were older than 80 years old. There were 21 cases of hypertension, 4 cases of coronary heart disease , Onset of 2 h ~ 3 d admission. 1.2 CT examination All patients underwent head CT examination. Bleeding