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目的评价血肿引流术在脑出血中的作用。方法对血肿≥３０ｍｌ的天幕上脑出血患者随机行血肿引流术和内科保守治疗，比较其对预后的影响。结果行引流术者死亡率（２９．４１％）低于内科保守治疗（４８．７５％）。结论脑出血＞３０ｍｌ，中线移位＜２ｍｍ血肿，位于脑叶或基底节，神经功能缺陷评分在２０～３９分之间，血肿尚未破入脑室者，行血肿引流术可能比内科保守治疗死亡率低
Objective To evaluate the role of hematoma drainage in intracerebral hemorrhage. Methods Randomly hematoma drainage and conservative medical treatment were performed on patients with intracerebral hemorrhage ≥30ml on hematoma. The prognosis was compared. Results The drainage mortality rate (29.41%) was lower than that of conservative medical treatment (48.75%). Conclusion Cerebral hemorrhage> 30ml, midline displacement <2mm hematoma, located in the lobar or basal ganglia, neurological deficit score between 20 and 39 points, the hematoma has not been broken into the ventricle, hematoma drainage may be conservative treatment of mortality than the medical low