本文综合了国内外高血压脑出血外科治疗的经验与教训,总结了手术死亡率,术后功能恢复情况,提出意识状态、手术时间、血肿部位与大小及术前高血压、年龄及合并心肺功能障碍、糖尿病等是影响手术效果的因素,并讨论了一些新改进的手术方法,如B超引导下穿刺抽吸脑内血肿、CT引导下立体定向抽吸血肿、血肿腔引流、尿激酶溶解术等。 This article combines the experience and lessons of surgical treatment of hypertensive intracerebral hemorrhage at home and abroad, summarizes the operative mortality, postoperative functional recovery, the proposed state of consciousness, operation time, location and size of hematoma and preoperative hypertension, age and combined cardiopulmonary function Obstacles and diabetes mellitus are the influencing factors of surgical effect. Some new and improved surgical methods are discussed, such as intracranial hematoma with B-guided aspiration, stereotactic aspiration with CT, hematoma cavity drainage, urokinase solution Wait.