(Disclaimer: This article is only for popularization of science, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient in this case had persistent hypertension, blood pressure up to 200/120 mmHg, without regular oral antihypertensive drugs. This time, he had a sudden onset of right side limb weakness with speech disorder, head CT showed: basal ganglia cerebral hemorrhage, considering that this hemorrhage site is related to hypertension, which can also be referred to as hypertensive cerebral hemorrhage, he was instructed to be absolutely bedridden, and was given medications such as dehydration, lowering cranial pressure, cerebral protection, lowering blood pressure, haemostasis, anti-inflammation, and other medications, and after the treatments, the amount of bleeding didn’t increase, and the related symptoms were relieved, and his condition was stabilized. 【Basic information】 Male, 47 years old 【Disease type】 Hypertensive cerebral hemorrhage 【Hospitalization】 The Second Affiliated Hospital of Harbin Medical University 【Time of consultation】 January 2022 【Treatment plan】 Medication (spearhead pitvipers blood coagulating enzyme for injection, wake-up injection, glycerol fructose injection, amlodipine benzenesulphonate tablets, ceftriaxone sodium for injection) 【Treatment cycle】 Hospitalization for 9 days 【Treatment effect Bleeding did not increase, right side limb weakness and speech disorder slightly improved, stable condition I. Initial Consultation The patient was admitted to the hospital 3 hours before the agitation of the right side limb weakness, accompanied by speech disorder, the upper limbs can not be lifted, the lower limbs can not walk, can speak complete words, can understand the questions of other people, the speech is ambiguous, accompanied by a headache, accompanied by nausea and vomiting, vomiting twice, vomit for the stomach contents, the symptom is persistent, gradually aggravated, the patient’s family was very anxious, the patient’s family was very anxious, the patient’s family was very anxious, the patient’s family was very anxious, the patient’s family was very anxious. The patient’s family was very anxious and brought the patient to the emergency room of our hospital. Immediately, head CT examination showed cerebral hemorrhage in the basal ganglia, and the patient was immediately instructed to stay in bed and avoid agitation, and was recommended to be admitted to the hospital for treatment, to which the family agreed. The family agreed. We learned that the patient had a history of cerebral hemorrhage, irregular oral antihypertensive medication, and poor blood pressure control. (Head CT) Second, the treatment process After admission to the hospital examination: mental clarity, speech clumsiness, memory is normal, body temperature: 37.5 ℃, blood pressure: 190/100 mmHg, heart rate: 86 times / min, respiration: 17 times / min, the right side of the limb muscle strength 2 + level, immediately given to the center of oxygen intake, cardiology and blood pressure and blood oxygenation saturation monitoring, improve the lung CT, blood, blood routine, coagulation, biochemistry series, such as the collection of blood laboratory tests. The patient’s lung CT showed: inflammation of both lungs, limited emphysema, lung nodules. With the patient and his family explain the condition, the current acute stage of cerebral hemorrhage, avoid emotional excitement, avoid defecation force, given injection of spearhead pit viper hemagglutinin to stop bleeding, awake brain static injection for cerebral protection, glycerol fructose injection for dehydration, lowering the intracranial pressure, amlodipine benzenesulphonate tablets to control blood pressure, injection of ceftriaxone sodium for anti-inflammatory. After 9 days of hospitalization, the patient’s bleeding did not increase, the weakness of the right side of the limbs and speech impediment was slightly improved, the body temperature was reduced to normal, the respiratory department was asked to consult the patient during hospitalization, the dosage of anti-inflammatory drugs was adjusted, and there was no proliferation of inflammation in the lung CT at a later stage, and the blood pressure control during hospitalization was still acceptable. The patient was very cooperative with the treatment, and reached the indication of discharge, and was told to continue the rehabilitation treatment in the rehabilitation hospital at a later stage, and to formulate the rehabilitation measures according to the actual situation, so that he could move his limbs passively and continue to take oral antihypertensive drugs (amlodipine benzenesulfonate tablets) on a regular basis. In summary, the patient’s bleeding did not increase, the right side of the limb weakness and speech impediment slightly improved, the condition tends to stabilize. Precautions: We are glad that the patient’s limb weakness and speech impediment have been relieved after treatment, and the patient should be discharged from the hospital with strict control of blood pressure, try to keep the blood pressure under 130/80mmHg, and take oral antihypertensive medication regularly every day, as well as controlling the blood glucose and blood lipid, and quitting smoking and alcohol, including second-hand smoke. Hypertensive cerebral hemorrhage is prone to recurrence, avoid emotional excitement in life, avoid strenuous exercise, avoid staying up late and working hard. In terms of diet, it is advisable to be light, low-salt and low-fat, and eat more easily digestible food. It is recommended to continue to go to the cardiology department after being discharged from the hospital, after the condition is stable, to check the heart ultrasound, adrenal CT, etc., to find out the cause of hypertension, and then symptomatic treatment. If there are sudden symptoms such as limb weakness and speech clumsiness, it is necessary to go to the nearest hospital for follow-up as soon as possible. V. Personal perception Hypertensive cerebral hemorrhage occurs mostly in the basal ganglia and the nucleus accumbens, which is supplied with blood by the deep perforating branch of the middle cerebral artery, and is most prone to rupture and hemorrhage in its lateral aspect. During the acute phase of hemorrhage in this area, head CT needs to be repeated several times to clarify whether the bleeding volume has increased. In this case, the patient’s blood pressure was well controlled during hospitalization and compliance was good, so the patient had no further aggravation. If further aggravation may appear consciousness disorder, drowsiness, lethargy or even coma, headache with jet-like vomiting. Preventive measures are mainly to actively control blood pressure to avoid recurrence of the disease.