Hypertensive cerebral hemorrhage is one of the more common critical illnesses in clinical practice. After cerebral hemorrhage, the peripheral tissues are compressed and the intracranial pressure increases, and some patients form life-threatening brain herniation. Timely self-help within the family, effective pre-hospital emergency, and choosing the appropriate treatment plan as soon as possible after arriving at the hospital are the best measures to save the patient’s life and reduce the disability and death rate. 1. Patients with hypertensive cerebral hemorrhage usually have a history of hypertension and poor blood pressure control. When the patient has severe headache, collapse, nausea, vomiting, or even unconsciousness, it may be a complication of hypertensive cerebral hemorrhage. At this time, the family needs to immediately call 120 emergency number, informing in detail the place of rescue and the contact number of the person seeking help so that medical personnel can arrive and rescue as soon as possible; and briefly describe the general condition of the patient and ask medical personnel to give reasonable guidance suggestions on the phone. 2, the patient’s family members need to master the basic common sense of rescue within the family, especially to maintain their own calm, orderly and reasonable arrangements for rescue matters, to avoid improper handling and aggravate the patient’s condition. First, actively comfort and guide the patient’s bad emotions, nervous emotions can easily cause unstable blood pressure, increase the amount of cerebral hemorrhage and aggravate the condition; second, keep the patient in a flat position, elevate the head and favor the side to avoid the back of the tongue to compress the airway, while cleaning the patient’s mouth and nose secretions to keep the airway open; wait for the arrival of medical personnel, do not blindly transfer, move the patient, and do not use random drugs. 3. Medical personnel should immediately start monitoring vital signs, establishing intravenous access, lowering pressure, tracheal intubation, suctioning and other first-aid measures when they arrive at the scene, and immediately perform chest cardiac compressions in cardiac arrest. The condition of hypertensive cerebral hemorrhage is complex and rapidly changing, so the patient’s family should not panic and get excited, but actively cooperate with the medical staff to rescue and treat the patient, and make timely decisions on the reasonable treatment suggestions made by the medical staff. 4. During the transfer process, the medical staff will hand over the hospital to which the patient is transferred, inform the family of the patient’s condition in advance, and perform surgical treatment for those with surgical indications. The timing of surgery for treating patients with hypertensive cerebral hemorrhage is still debated at present, but surgical treatment is recognized as an effective way to treat patients with hypertensive cerebral hemorrhage, and removing the hematoma as soon as possible is the basic principle of treating hypertensive cerebral hemorrhage. Clinicians will choose the appropriate time for surgery according to the patient’s condition, and patients and their families should follow the medical advice to avoid hesitation and delay, resulting in delaying the best time for treatment. With hypertensive cerebral hemorrhage, the emphasis is on early detection and early treatment, and reasonable and effective treatment measures can improve the prognosis of patients. After the acute phase of cerebral hemorrhage, blood pressure should be actively controlled and attained to avoid rebleeding. Regular rehabilitation treatment should be received to promote neurological recovery and improve the quality of life.