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目的：选择非超早期幕上自发性脑出血各种治疗的适应症．方法：多中心统计分析并存活者随访。结果：脑出血6小时后病人，GCS评分7分以下者，存活率很低，手术也很难挽回其生命;7分以上者，手术能改善预后。血肿在50ml以上内科治疗成活率很低，即使存活残疾也重，且易早期死亡；血肿在35ml以下且GCS评分较高者多能存活。单纯锥、钻孔血肿引流未见特殊的优越性．高龄、抽烟、高血压、糖尿病等促进动脉硬化因素与幕上脑出血死亡率呈正相关，而少量饮酒者脑出血存活率相对较高。结论：非超早期幕上自发性脑出血病人，GCS评分7分以下或有多个致动脉硬化因素存在者可予见预后不良。血肿在35ML以下GCS评分11分以上内科治疗预后较好，如血肿在35ML以上而GCS评分7分以上宜选手术。
Aims: To choose indications for various treatments of non-ultra-early stage supratentorial intracerebral hemorrhage. Methods: Multicentre statistical analysis and survivors were followed up. Results: Six hours after the intracerebral hemorrhage, the patients with GCS score less than 7 had low survival rate and could hardly save their lives with surgery. For patients with more than 7 points, the surgery could improve the prognosis. Surgical treatment of hematoma in more than 50ml Survival rate is very low, even if the survival of disability is also heavy, and easy to die early; hematoma below 35ml GCS score and more able to survive. Simple cone, drilling hematoma drainage no special superiority. Elderly, smoking, hypertension, diabetes and other factors that promote atherosclerosis and supratentorial hemorrhage mortality was positively correlated, while a small amount of drinkers cerebral hemorrhage survival rate is relatively high. CONCLUSIONS: Patients with non-ultra-early-onset supratentorial intracerebral hemorrhage who have a GCS score of seven or fewer or multiple arteriosclerosis factors may have poor prognosis. Hematoma in 35ML following GCS score 11 points better prognosis of medical treatment, such as hematoma in the 35ML above the GCS score of 7 points or more should be selected surgery.