为探索降低脑出血急性期死亡率的有效抢救方法 ,将 5 1例患者随机分为观察组 3 0例(中药β -t叶皂甙钠、清开灵加西药布瑞得、甘露醇 )、对照组 2 1例 (单用西药甘露醇、胞二磷胆碱 )。结果 :观察组 1 0日内死亡率为 3 0 0 0 % ,对照组为 61 90 % ,两组比较P <0 0 5。观察组并发肾功能衰竭者占 6 67% ,明显低于对照组的 5 7 1 4%。提示中西医综合疗法能显著降低急性脑出血的死亡率 ,与其能明显降低急性肾功能衰竭、上消化道出血等并发症 ,以及克服甘露醇降低颅内压后反跳现象等因素相关 In order to explore an effective method to reduce the mortality rate of acute cerebral hemorrhage, 51 patients were randomly divided into the observation group of 30 patients (Chinese medicine β-tosaponin sodium, Qingkailing plus Xibrinide, mannitol), control Group 21 (Western mannitol alone, Citicoline). Results: In the observation group, the mortality rate was 0% in 30 days and 61 90% in control group, P <0 05 in both groups. The observation group with renal failure accounted for 6 67%, significantly lower than the control group of 5714%. It is suggested that the combination therapy of traditional Chinese medicine and Western medicine can significantly reduce the mortality rate of acute cerebral hemorrhage, and it can significantly reduce the complications such as acute renal failure, upper gastrointestinal bleeding and overcome the anti-jump phenomenon after mannitol reduces intracranial pressure