目的探讨出血性脑梗死26例的临床特点及诊治效果。方法首先给予吸氧纠正组织缺氧并心电监护监测患者的生命体征,一旦确诊,立即停用抗凝、抗血小板聚集、溶栓等治疗,给予降颅压、脱水、抗自由基对症支持治疗,处理患者并发症,控制血压、血糖及纠正水电解质紊乱,必要时手术。结果 26例出血性脑梗死患者的诊治取得了良好的临床疗效,临床治愈8例,明显好转8例,好转5例,未见好转或加重3例,死亡2例,临床治愈率为30.78%,好转率为80.77%,死亡率仅为7.69%。结论出血性脑梗死病因复杂,病情危重,治疗时要防止其发生。 Objective To investigate the clinical features and diagnosis and treatment of 26 cases of hemorrhagic cerebral infarction. Methods The patients were given oxygen-corrected hypoxia and ECG monitoring to monitor the vital signs of the patients. Once the patients were diagnosed, anticoagulant, anti-platelet aggregation and thrombolysis were stopped immediately, and intracranial pressure, dehydration and anti-free radical symptomatic supportive therapy were given , Treatment of patient complications, blood pressure control, blood glucose and water and electrolyte disorders, if necessary, surgery. Results The diagnosis and treatment of 26 patients with hemorrhagic cerebral infarction achieved good clinical curative effect, 8 cases were cured clinically, 8 cases improved obviously, 5 cases improved, 3 cases did not improve or aggravate, 2 cases died. The clinical cure rate was 30.78% The improvement rate was 80.77%, the mortality rate was only 7.69%. Conclusion The cause of hemorrhagic cerebral infarction is complex and the condition is critical. Prevent it from occurring during treatment.