目的 :探讨急性脑出血的死亡原因。方法 :分析我院 6 0例脑出血死亡者的临床资料。结果 :脑疝占 6 6 .7% ,为首要死因 ,再次出血为次要死因 ,多脏器功能衰竭在发病一周后易出现 ,肺炎所致呼吸衰竭、心源性休克也是部分脑出血的死亡原因。结论 :脑出血急性期治疗应以降颅压为主 ,兼顾控制血压 ,保护心、肾、肺等器官的功能。 Objective: To investigate the causes of death in acute intracerebral hemorrhage. Methods: The clinical data of 60 deaths from cerebral hemorrhage in our hospital were analyzed. Results: Hernia accounted for 6.67%, the leading cause of death, rebleeding as the second cause of death, multiple organ failure prone to occur one week after onset, respiratory failure caused by pneumonia, cardiogenic shock is also part of the death of cerebral hemorrhage the reason. Conclusion: The treatment of acute cerebral hemorrhage should be mainly intracranial pressure, taking into account the control of blood pressure and the protection of heart, kidney and lungs.