目的研究出血性脑梗死的临床特征,减少误诊、误治的发生。方法总结2例首次CT显示为脑出血的急性出血性脑梗死的诊断及治疗经过,结合文献对临床特点进行复习。结果 2例出血性脑梗死早期CT表现为少量脑出血,动态复查CT或MRI显示大面积脑梗死,梗死灶中合并少量出血。结论出血性脑梗死早期CT只表现为少量脑出血时临床易误诊,必须提高对此病的认识。 Objective To study the clinical characteristics of hemorrhagic cerebral infarction and reduce the occurrence of misdiagnosis and mistreatment. Methods The diagnosis and treatment of 2 cases of acute hemorrhagic cerebral infarction with CT showed cerebral hemorrhage were reviewed. The clinical features were reviewed in combination with the literature. Results 2 cases of hemorrhagic cerebral infarction early CT showed a small amount of intracerebral hemorrhage, CT or CT dynamic examination showed large area cerebral infarction, infarction combined with a small amount of bleeding. Conclusion Early CT showed hemorrhagic cerebral infarction only a small amount of intracranial hemorrhage easily misdiagnosed, we must raise awareness of the disease.