[背景 ]高血压脑内晚期张力性血肿尚未引起临床医生的足够重视 .[病例报告 ]2例脑出血病人均符合内科治疗标准 ,治疗后病情好转 ,2周左右又出现高颅压症状 ,脱水治疗效果欠佳 ,复查脑CT见血肿范围增大 ,密度区内高密度区缩小 ,中线结构移位明显 .[讨论 ]高血压脑内晚期张力性血肿早期外科治疗能挽救生命 ,改善预后 [Background] Hypertensive intracerebral hemorrhage has not yet attracted enough attention of clinicians. [Case Report] 2 patients with intracerebral hemorrhage were in line with the standard of medical treatment, after treatment, the condition improved, and 2 weeks later appeared symptoms of high intracranial pressure, dehydration Treatment of poor results, review CT brain hematoma range increases, the density of high-density area narrowing, central structure shift significantly. [Discussion] Early hypertensive intracerebral hemorrhage early surgical treatment can save lives and improve prognosis