用ＣＴ 定位锥颅血肿碎吸术治疗高血压脑出血３２ 例，近期疗效按ＡＤＬ 分级：Ⅰ级５ 例，占１９ ．２３ ％ ，Ⅱ级６ 例，占２３ ．３０ ％ ，Ⅲ级８ 例，占３０ ．７３ ％ ，Ⅳ级６ 例，占２３ ．３０ ％ ，Ⅴ级１ 例，占３ ．８４ ％ 。术后死亡６ 例，占１８ ．７５ ％ 。对手术优点，手术时机及手术并发症的预防等进行讨论，认为ＣＴ 定位锥颅血肿碎吸术正在逐渐替代传统的开颅清除术 32 cases of hypertensive intracerebral hemorrhage were treated with CT positioning cranial hematoma aspiration, and the short-term effect was classified according to ADL grade 5 in grade Ⅰ, accounting for 19%. 23%, grade Ⅱ in 6 cases, accounting for 23%. 30%, Ⅲ grade in 8 cases, accounting for 30%. 73%, Ⅳ grade in 6 cases, accounting for 23%. 30%, V grade in 1 case, accounting for 3. 84%. Postoperative death in 6 cases, accounting for 18. 75%. On the advantages of surgery, the timing of surgery and the prevention of surgical complications were discussed, that CT skull pyknosis suction positioning is gradually replacing the traditional craniotomy