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对２０例重型高血压性脑出血进行了病理改变与其临床关系的探讨。结果表明：重型高血压性脑出血以基底节外侧混合型出血多见，出血量大，常继发脑室出血、蛛网膜下腔出血及脑干出血。其病情的严重程度与高血压病史时间的长短无关，但本组患者发病前后血压均很高。主要体征为意识障碍出现的早、瞳孔不等大或双瞳孔缩小、去脑强直、完全性肢瘫及双侧病理反射阳性。本资料提示脑出血的严重程度并非取决于出血部位，主要取决于出血量的大小。坚持长期有效地治疗高血压仍是预防重型高血压性脑出血的重要措施。
In 20 cases of hypertensive intracerebral hemorrhage were studied the pathological changes and its clinical significance. The results showed that the mixed hemorrhage of the basal ganglia was more common in severe hypertensive intracerebral hemorrhage. The hemorrhage was large and the ventricular hemorrhage, subarachnoid hemorrhage and brainstem hemorrhage were often occurred. The severity of the disease and history of hypertension has nothing to do with the length of time, but before and after the onset of this group of patients with high blood pressure. The main signs of disturbance of consciousness appear early, pupil ranged or double miosis, brain rigidity, complete limb paralysis and bilateral pathological reflex positive. The data suggest that the severity of cerebral hemorrhage does not depend on the bleeding site, mainly depends on the size of the amount of bleeding. Adhere to the long-term effective treatment of hypertension is still an important measure to prevent severe hypertensive intracerebral hemorrhage.