用ＣＴ定位钻孔血肿抽吸尿激酶溶解治疗高血压脑出血６４例，临床病情分级Ⅰ～Ⅱ度恢复良好达９１．３％，死亡率０；Ⅲ度恢复良好５５．５６％，死亡率１１．１１％；Ⅳ～Ⅴ度死亡率高达７８．５７％。提示病情分级与预后密切相关；探讨了手术适应证、禁忌证、及影响预后的因素如血肿量、手术时机、血肿破入脑室、再出血等。 Sixty-four cases of hypertensive intracerebral hemorrhage were treated with CT-guided hematoma pumping and urokinase dissolution. The clinical grade Ⅰ ~ Ⅱ recovered well by 91.3%, the mortality rate was 0; the third degree recovery was 55.56%, the mortality rate was 11 .11%; Ⅳ ~ Ⅴ mortality rate as high as 78.57%. It suggests that the grading of the disease is closely related to the prognosis. The surgical indications, contraindications and prognostic factors such as the amount of hematoma, the timing of the operation, the rupture of the hematoma in the ventricles and the re-bleeding are discussed.