报告５９例小儿自发性脑出血，分析其临床特征及ＣＴ的诊断价值。小儿自发性脑出血的临床特征是：多发生于学龄期，病因多为脑血管畸形，出血部位多在脑叶。其临床主要表现为呕吐、头痛、尖叫、意识障碍、抽搐和偏瘫。ＣＴ可以对脑出血进行定位、定量、鉴别继发性蛛网膜下腔出血（ＳＡＨ）和自发性ＳＡＨ，估计脑出血的性质。讨论了治疗方法的选择。 Report of 59 cases of children with spontaneous intracerebral hemorrhage, analysis of its clinical features and diagnostic value of CT. The clinical features of children with spontaneous intracerebral hemorrhage are: occurred in school age, the cause of mostly cerebral vascular malformations, mostly in the lobar hemorrhage site. The main clinical manifestations of vomiting, headache, screaming, disturbance of consciousness, convulsions and hemiplegia. CT can locate cerebral hemorrhage, quantitative, identification of secondary subarachnoid hemorrhage (SAH) and spontaneous SAH, to assess the nature of cerebral hemorrhage. The choice of treatment method is discussed.