Hypertensive cerebral hemorrhage is the spontaneous appearance of intracerebral hemorrhage in patients with hypertension and cerebral atherosclerosis, and its disability and mortality rates are very high. This provides an important basis for choosing conservative medical treatment or surgical treatment. I. Indications and contraindications for cerebral hemorrhage surgery 1. Indications (1) Amount of hemorrhage: It is generally believed that the amount of hemorrhage in the cerebral hemisphere is greater than 40 ml, and cerebellar hemorrhage is greater than 10 ml should be treated surgically. (2) Hemorrhage site: Surgery is preferred for superficial hemorrhage; if the primary ventricular hemorrhage and adjacent intracerebral hematoma break into the ventricle, ventricular drainage + urokinase hemolysis is appropriate. (3) State of consciousness: mild to moderate impairment of consciousness with slow deepening indicates the possibility of active hemorrhage or aggravation of secondary damage, and active surgery should be performed. (4) Those with brain herniation or pre-herniation. (2) Relative contraindications (1) Those who are conscious and have a small amount of bleeding on the screen. (2) Those who are severely impaired in consciousness and show symptoms of brain herniation soon. (3) Brainstem hemorrhage. (4) Those who have serious systemic diseases such as heart, lung and kidney before the disease. (5) Those who are older than 70 years of age should be considered carefully in the context of the systemic condition, and the choice of surgery and surgical methods should be made. (6) Those with high blood pressure after onset, difficult to control by medication or with fundus hemorrhage. With the development of stereotactic hematoma removal, fibrinolytic drainage of hematoma and endoscopic hematoma removal, there are more options for surgical treatment of intracerebral hematoma. Since each of these surgical methods has its own advantages and disadvantages, the reports of combined use have increased significantly in recent years, and the effectiveness of surgical treatment has improved significantly.