Brain stem hemorrhage is caused by the rupture of small blood vessels in the brain stem or the extension of cerebral hemorrhage foci to the brain stem, which can be treated by general treatment, oral medication and surgery. If the amount of brainstem hemorrhage is less than 5 ml, it is recommended that the patient should be hospitalized in time, keep bed rest and avoid emotional stress. Under the guidance of the doctor, the patient can use drugs to lower the cranial pressure by dehydration, such as mannitol, glycerol fructose, etc. If the blood pressure is too high, the patient should follow the doctor’s instructions to use drugs to lower the blood pressure for control, such as amlodipine, valsartan, etc. If hydrocephalus is caused by brainstem hemorrhage, intracranial pressure can be lowered by ventricular drainage surgery. If the intracranial pressure continues to increase and there is a risk of brain herniation, a craniotomy should also be performed to surgically remove the hematoma. If brainstem hemorrhage occurs, patients are advised to seek medical attention in time to avoid delays and serious consequences.