How to treat Surgical treatment of hypertensive cerebral hemorrhage should be valuable only when nonoperative treatment has failed and the hemorrhage has not yet caused primary or secondary fatal damage. The aim of surgical treatment is to eliminate the hematoma, lower the intracranial pressure, relieve the occurrence and development of cerebral herniation, improve cerebral circulation, and promote early recovery of the compressed brain tissue. In conclusion, the treatment of hypertensive cerebral hemorrhage is selective. If the hemorrhage is small, it can be treated by internal medicine, and if the hematoma is large, such as the volume of the hematoma in the external or internal capsule area reaches 20 ml or more, timely craniotomy or stereotactic brain surgery to remove the hematoma often helps to release the brain from pressure and promote recovery. Stereotactic hematoma aspiration is precise in localization and has little surgical damage, which is especially suitable for hematoma removal in deep brain or important functional areas. Surgical treatment is sometimes difficult to achieve in patients who are in a coma or in a state of cerebral tonicity because of the rapid onset of the disease and its deterioration within a short period of time. Non-surgical treatment includes absolute bed rest, sedation and stabilization of blood pressure, application of dehydrating drugs (mannitol), hemostatic drugs (lithotripsy), maintenance of water and electrolyte balance, supportive therapy, and attention to keeping the airway open. Comatose patients should be carefully cared for, and complications such as pneumonia (cephalosporins, ofloxacin) and gastric bleeding (ranitidine, loxacin) should be prevented and treated in a timely manner.