目的：观察中西医结合早期使用活血化瘀中药治疗急性脑出血患者的疗效。方法：治疗组４０例和对照组３０例均为急性脑出血患者，２组基础疗法相同，治疗组早期加口服或鼻饲活血化瘀中药。２组治疗前后分别进行神经功能缺损评分，比较疗效。结果：治疗组总有效率（９５．０％）明显高于对照组（６３．３％），２组比较有显著性差异（χ２＝１１．３６，Ｐ＜０．０１）。治疗组血肿吸收快，复查脑ＣＴ无软化灶，无穿透性损伤，生存率明显提高，致残率明显降低。结论：中西医结合治疗，早期使用活血化瘀中药治疗急性脑出血，可降低病死率和致残率。 Objective: To observe the efficacy of traditional Chinese and western medicine in the early treatment of patients with acute cerebral hemorrhage. Methods: 40 cases in the treatment group and 30 cases in the control group were all patients with acute intracerebral hemorrhage. The two groups had the same basic therapy. The treatment group was given oral or nasal feeding the traditional Chinese medicine of promoting blood circulation and removing blood stasis early. Two groups before and after treatment were neurological deficit score, more effective. Results: The total effective rate (95.0%) in the treatment group was significantly higher than that in the control group (63.3%). There was significant difference between the two groups (χ2 = 11.36, P <0.01). The treatment group hematoma fast absorption, review CT no softening lesions, no penetrating injury, survival rate was significantly improved, the morbidity was significantly reduced. Conclusion: Integrative Chinese and Western medicine, early use of traditional Chinese medicine treatment of acute cerebral hemorrhage, can reduce mortality and morbidity.