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分析高血压重症基底节区血肿50例的临床表现、CT分型及手术预后。根据血肿范围分型，Ⅰ型（17例）位于内囊外侧，Ⅱ型（14例）侵犯内囊，Ⅲ型（6例）侵犯内囊和下丘脑或丘脑，Ⅳ型（5例）以丘脑出血为主，Ⅴ型（8例）血肿扩延到中脑或桥脑。手术死亡率为42％，其中Ⅰ型17.65％，Ⅱ型28．57％，Ⅲ型83．33％，Ⅳ型20％，Ⅴ型100％。Ⅰ、Ⅱ型重症基底节区血肿应争取早期手术；早期出现上消化道出血之Ⅲ型慎用手术；Ⅳ型仅作脑室外引流即可；Ⅴ型无手术指征。
Analysis of 50 cases of hypertensive severe basal ganglia hematoma clinical manifestations, CT classification and surgical prognosis. According to the type of hematoma, type Ⅰ (17 cases) was located outside the internal capsule, type Ⅱ (14 cases) infringe the internal capsule, type Ⅲ (6 cases) infringe the internal capsule and hypothalamus or thalamus, type Ⅳ (5 cases) Hemorrhage, Ⅴ type (8 cases) hematoma extended to the midbrain or pons. Surgical mortality was 42%, of which type Ⅰ 17.65%, type Ⅱ 28.57%, type Ⅲ 83.33%, type Ⅳ 20%, type Ⅴ 100%. Ⅰ, Ⅱ severe basal ganglia hematoma should fight for early surgery; early upper gastrointestinal bleeding Ⅲ caution surgery; Ⅳ only for ventricular drainage can be; Ⅴ type no surgical indications.