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

摘要： 目的 探讨高原地区小脑出血的临床特点、治疗策略及预后影响的因素,为高原环境下小脑出血的治疗方案提供依据。方法 回顾性分析2015年3月~2025年11月在高原地区(海拔≥1500 m)多家医疗机构收治的小脑出血患者的临床资料,包括患者的基本信息、临床表现、治疗方式、临床效果及预后情况。采用统计学方法分析不同治疗方式的疗效差异及预后影响因素。结果 共纳入217例高原地区小脑出血患者,其中127例采用保守治疗(保守组),52例采用开颅手术治疗(开颅组),38例采取微创穿刺治疗(微创组);临床疗效和mRS评分无明显差异。结论 高原地区小脑出血患者因低氧环境存在独特的临床特点,需结合患者出血量、病情严重程度及高原适应情况制定个体化治疗策略,可改善患者预后。

关键词: 高原地区, 小脑出血, 救疗策略, 预后