目的探讨妊娠合并急性脑出血的临床特点、危险因素、诊断方法以及治疗方案。方法回顾性分析56例妊娠合并急性脑出血患者的临床特点,总结造成妊娠期脑出血的原因,分析其诊断方法和治疗方法。结果颅内动静脉畸形、贫血、妊娠期高血压、自然分娩等因素是引起妊娠合并急性脑出血的危险因素。根据病史、临床表现及影像学确诊。56例患者中38例经手术治疗好转,18例为保守治疗,总好转47例。结论妊娠期合并急性脑出血属于危重病,如不及时治疗很可能危及母子生命。妊娠合并脑出血可因颅内动静脉畸形、贫血、妊娠期高血压、自然分娩等因素引起。孕期行普及产检,可有效预防和及早诊治,同时早期就诊和治疗,大部分患者能好转。 Objective To investigate the clinical features, risk factors, diagnosis and treatment of acute intracerebral hemorrhage complicated with pregnancy. Methods The clinical features of 56 cases of pregnancy complicated with acute cerebral hemorrhage were retrospectively analyzed. The causes of intracerebral hemorrhage during pregnancy were summarized, and the diagnostic methods and treatment methods were analyzed. Results Intracranial arteriovenous malformations, anemia, gestational hypertension, spontaneous labor and other factors were the risk factors of pregnancy induced acute cerebral hemorrhage. According to medical history, clinical manifestations and imaging diagnosis. Of the 56 patients, 38 were improved by surgery, 18 were conservative and 47 were better overall. Conclusion Pregnancy complicated with acute intracerebral hemorrhage is a critical illness, if not treated it may endanger mother and child life. Pregnancy complicated by cerebral hemorrhage may be due to intracranial arteriovenous malformations, anemia, gestational hypertension, natural childbirth and other factors. Universal prenatal checkup, which can effectively prevent and early diagnosis and treatment, while early treatment and treatment, most patients can improve.