For patients with cerebral hemorrhage, the acute phase is usually 24-72 hours. The acute phase means that the patient’s condition changes rapidly at this stage, and there is a risk of cerebral hemorrhage, continued increase in bleeding, or even secondary hemorrhage. In the acute phase of cerebral hemorrhage, the patient’s condition should be closely observed, paying attention to changes in the patient’s vital signs, including the patient’s mental state, pupils, consciousness, limb movement, etc. Conditions should be chosen to dynamically review the cranial CT, closely observing the changes in the condition of intracerebral hematoma. If there are surgical indications, the patient should actively take the surgical way to carry on the treatment, through the craniotomy to remove the hematoma in the brain, and after the operation, we should do the active prevention and treatment for the patient’s possible complications, only in this way can we effectively guarantee the patient’s life safety and achieve good therapeutic effect.