大多数原发性出血(70％～80％)与高血压有关。 普遍认为典型的基底节血肿,外科手术无益。为重新评定手术指征,作了一次原发性幕上出血治疗的前瞻性随机研究。收录标准:年龄16～65岁,意识无障碍或下降和神经损害严重,患者均行动脉造影术除外动脉瘤或动静脉畸形。出血到手术的中位时间为14.5h,结论手术不优于保守治疗。手术组的另 Most of the primary bleeding (70% to 80%) and hypertension. Generally considered a typical basal ganglia hematoma, surgery is not good. A prospective randomized study of primary supratentorial hemorrhage was conducted to reevaluate the surgical indication. Inclusion criteria: age 16 to 65 years old, awareness of accessibility or decline and severe neurological damage, patients underwent angiography except aneurysm or arteriovenous malformations. The median time for bleeding to surgery was 14.5 h, which concluded that surgery was not superior to conservative treatment. The other surgery group