本文重点阐述高血压脑出血、脑动脉瘤破裂、缺血性脑血管病的外科治疗的适应症。一、高血压脑出血本文仅就高血压脑出血中频率最高,手术适应症争议最多的外囊出血加以讨论。关于外囊出血,作者认为有一部份可以早期手术,目的在于止血,清除血肿以防止血肿破坏脑组织及把神经脱落症状限制在最低水平。此外还可减轻颅内压力以挽救病人生命。 This article focuses on indications for the surgical treatment of hypertensive intracerebral hemorrhage, ruptured cerebral aneurysm, and ischemic cerebrovascular disease. First, hypertensive intracerebral hemorrhage This article only hypertensive intracerebral hemorrhage in the highest frequency, surgical indications of the most controversial outer balloon hemorrhage to be discussed. Regarding the extracapsular hemorrhage, the authors believe that there is a portion that can be used for early surgery in order to stop the bleeding, remove the hematoma, prevent the hematoma from damaging the brain tissue, and limit the symptom of the nerve extremity to a minimum. In addition to reduce intracranial pressure to save the lives of patients.