对３０例７０岁以上高血压脑出血病人进行了临床研究，发现高龄患者血压变化以收缩压增高为主，动态发病多（８０％），高颅压症状轻，意识改变和功能障碍重。本组保守治疗１２例，手术１８例。认为急性期血肿量＞３５ｍｌ时可用脑内血肿清除器清除血肿；发病后４～５天适合椎孔注尿激酶引流。注重并发症防治可降低死亡率。 Thirty patients with hypertensive intracerebral hemorrhage over the age of 70 were studied. The changes of blood pressure were mainly found in elderly patients with increased systolic blood pressure (80%), mild symptoms of high intracranial pressure, altered consciousness and dysfunction. The conservative treatment of 12 cases, 18 cases of surgery. That the amount of hematoma in the acute phase> 35ml can be used to remove hematoma brain hematoma remove hematoma; 4 to 5 days after the onset of foraminal injection of urokinase. Focus on prevention of complications can reduce mortality.