回顾性分析24例高血压性脑叶血肿的临床和CT资料。严重高血压组脑叶血肿体积为27.2±8.2ml，平均住院天数为37.1±7.8d，高血压较轻组则分别是19.9±5.0ml和28.7±3.3d,两组比较差异有显著性（P＜0.05）。两组在血肿的大小以及出现颅内高压和偏瘫等临床严重程度上均有显著差异（P＜0.05）。本组均为急性发病，但偏瘫较少（33.4％），有41.6％的病人出现过短时的轻度精神症状。头部CT扫描可较快作出正确诊断。 Retrospective analysis of 24 cases of hypertensive intracerebral hematoma clinical and CT data. The volume of intracerebral hemorrhage in severe hypertensive group was 27.2 ± 8.2ml, the average length of hospital stay was 37.1 ± 7.8d, and the mild hypertension group was 19.9 ± 5.0ml and 28.7 ± 3.3d, respectively (P <0.05). The two groups had significant differences in the size of hematoma and the clinical severity such as intracranial hypertension and hemiparesis (P <0.05). This group are acute onset, but less hemiplegia (33.4%), 41.6% of patients had mild mental symptoms were too short. Head CT scan can make the correct diagnosis faster.