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本文报告了174例脑出血死亡病人的病理改变，统计了脑出血的病灶分布规律，并初步分析了病人死因及病因．结果：脑出血死亡病人病灶分布：基底节区55．7％，脑叶8．0％，原发脑干11.5％，小脑4．6％，原发脑室出血4．6％，蛛网膜下腔出血5．2％，多部位脑出血10．3％．死亡原因：基底节区小灶出血死于继发脑干出血，继发脑室出血及脑病等原因．小脑出血亦可产生海马钩回病．发病原因：基底节区出血有高血压或动脉硬化者占89，7％，多灶出血有高血压或动脉硬化者占77，8％．脑出血死亡病人易于合并上消化道出血．
This article reports the pathological changes of 174 patients died of cerebral hemorrhage, statistics of the distribution of lesions of cerebral hemorrhage, and preliminary analysis of the cause of death and etiology. Results: The distribution of lesions in ICH patients was 55.7% in basal ganglia, 8.0% in lobes, 11.5% in primary brainstem, 4.6% in cerebellum, 4.6% in primary ventricular hemorrhage, Bleeding 5.2%, multi-site cerebral hemorrhage 10.3%. Causes of death: basal ganglia small hemorrhage died of secondary brain stem hemorrhage, secondary ventricular hemorrhage and encephalopathy and other reasons. Cerebellar hemorrhage can also produce hippocampus hook back disease. Etiology: basal ganglia hemorrhage with hypertension or arteriosclerosis accounted for 89,7%, multifocal hemorrhage with hypertension or arteriosclerosis accounted for 77,8%. Patients with ICH are prone to have upper gastrointestinal bleeding.