本文对174例自发性脑出血的临床及 CT 资料进行回顾性分析,探讨对自发性脑出血的新认识。无 CT 检查设备,脑出血误诊率为25.2%。部分脑出血病人为静态发病,无头痛、呕吐及意识障碍。头痛、呕吐、意识障碍三主征中,有一项以上者应考虑为脑出血。影响脑出血预后的因素与出血部位、出血量及合并症密切相关。 In this paper, 174 cases of spontaneous cerebral hemorrhage clinical and CT data were retrospectively analyzed to explore new understanding of spontaneous cerebral hemorrhage. No CT examination equipment, misdiagnosis rate of cerebral hemorrhage was 25.2%. Some patients with cerebral hemorrhage static incidence, no headache, vomiting and disturbance of consciousness. Headache, vomiting, disturbance of consciousness three main symptoms, more than one should be considered as cerebral hemorrhage. Factors affecting the prognosis of cerebral hemorrhage and bleeding sites, bleeding and complications are closely related.