The formation of two or more identical or different types of hematomas in the same or different parts of the skull after trauma is called multiple annoying intracranial hematomas. It is not uncommon clinically and accounts for about 20% of all intracranial hematomas. According to the different sites and types of hematomas, they can be divided into three categories: 1. Multiple hematomas of the same site and different types accounting for about 40% of the total, mostly hedging cerebral contusions with acute subdural hematomas and intracerebral hematomas, or epidural hematomas with localized subdural hematomas or intracerebral hematomas at the site of impact. 2. Multiple hematomas at different sites and of the same type are often bilateral subdural hematomas due to frontal or occipital deceleration injury. 3. Multiple hematomas at different sites and of different types See epidural hematomas at the site of impact and subdural hematomas or intracerebral hematomas at the site of hedging. The clinical manifestations of multiple intracranial hematomas are similar to those of single hematomas, but they are often more severe, and the patient is more often in a persistent coma or with rapid changes in consciousness after the injury. It is not easy to make a definite diagnosis before surgery, and the possibility of multiple hematomas should be considered when the following quiet conditions are present (1) complex injury pattern; (2) multiple scalp injuries or multiple skull fractures; (3) the presence of hedgehog brain injury; (4) intracranial pressure is not reduced after preoperative removal of hematoma on one side, or once reduced and then increased; (5) CT scan has confirmed the presence of hematoma on one side, but the midline shift is not consistent with CT performance. For suspicious cases, it is necessary to analyze comprehensively and perform CT examination early to make the diagnosis. Reasonable design of the surgical approach, method and sequence, and strive to remove all hematomas in one operation.