关键词: 高原地区, 小脑出血, 救疗策略, 预后

Abstract: Objective To explore the clinical characteristics,treatment strategies,and prognostic factors of cerebellar hemorrhage in high-altitude areas,and to provide a basis for the formulation of treatment plans for cerebellar hemorrhage under high-altitude environments. Methods The clinical data of patients with cerebellar hemorrhage admitted to multiple medical institutions in high-altitude areas (altitude ≥ 1500 m) from March 2015 to November 2025 were retrospectively analyzed,including basic patient information,clinical manifestations,treatment methods,clinical effects,and prognosis.Statistical methods were used to analyze the differences in curative effects among different treatment methods and the factors affecting prognosis. Results A total of 217 patients with cerebellar hemorrhage in high-altitude areas were included,of which 127 cases were treated with conservative treatment (conservative group),52 cases with craniotomy (craniotomy group),and 38 cases with minimally invasive puncture treatment (minimally invasive group);there were no significant differences in clinical efficacy and modified Rankin Scale (mRS) scores among the three groups. Conclusion Patients with cerebellar hemorrhage in high-altitude areas have unique clinical characteristics due to the hypoxic environment.Individualized treatment strategies should be formulated based on the patient's bleeding volume,disease severity,and high-altitude adaptation status to improve the patient's prognosis.

Key words: High-altitude areas, Cerebellar hemorrhage, Treatment strategies, Prognosis