In clinical practice, punches to the head can also produce internal injuries, especially relatively violent blows, and many patients may develop cerebral contusion, cerebral hemorrhage, subdural hematoma and a series of other conditions, and even more serious cases can cause diffuse axonal injury, which is even more important for the patient’s life. In special cases, surgical treatment is also required, such as craniotomy intracerebral hematoma removal surgical treatment. Fist to the head, especially to the temples, that is, temporal, it is easy to make the meningeal artery rupture, and the meningeal artery rupture is very easy to cause epidural hematoma, this situation is more horrific, there are a lot of patients in the follow-up, because of the gradual increase of hematoma, compression of the brain tissue and caused by the death, so timely and complete the relevant examination is more meaningful.