本文报告303例经手术证实的高血压脑出血的临床治疗经验,并对分类诊断、预后,手术指征、手术禁忌证、手术技巧及手术时间等问题进行了讨论。手术适应征应为①外侧型脑内出血、小脑出血、早期内侧型脑室内出血;②Ⅱ级、恶化的Ⅰ级,经用强力脱水药及其他抢救措施好转的Ⅲ级,③无重要脏器损伤者。作者强调了早期电子计算机断层扫描诊断及早期显微手术的重要性。 This paper reports 303 cases of surgical treatment of hypertensive intracerebral hemorrhage clinical experience and classification diagnosis, prognosis, surgical indications, surgical contraindications, surgical techniques and operation time and other issues were discussed. The surgical indications should be ① lateral intracerebral hemorrhage, cerebellar hemorrhage, early intraventricular hemorrhage; ② grade Ⅱ, deteriorating grade Ⅰ, with powerful dehydration and other salvage measures improved grade Ⅲ, ③ no important organ damage. The authors emphasize the importance of early computed tomography and early microsurgery.