自发性脑出血是内科常见急诊之一，我院急诊该病的发病人数有逐年增多的趋势，以脱水为主的内科保守治疗效果差，病死率很高，尤其是功能恢复率很低，外科开颅清除血肿术创伤大，疗效也不十分令人满意。近年来，国内不少医院开展了锥颅（或钻颅）穿刺脑内血肿清除术治疗自发性 Spontaneous intracerebral hemorrhage is one of the most common medical emergencies. The incidence of this disease in our hospital tends to increase year by year. The conservative medical treatment mainly based on dehydration is poor and the case fatality rate is very high, especially the functional recovery rate is very low. Surgical Craniotomy hematoma surgery trauma, the effect is not very satisfactory. In recent years, many hospitals in China carried out the craniotomy (or drill craniotomy) intracerebral hematoma removal of spontaneous