Cerebral hemorrhage with terminal vomiting of blood occurs mainly because of the huge amount of cerebral hemorrhage, which causes the patient’s intracranial pressure to increase. After the increase of intracranial pressure, in order to ensure the normal intracranial cerebral perfusion pressure, the blood flow of other parts of the body will be mobilized at this moment to meet the blood supply of the brain. The most first manifestation is the rapid contraction of the mucosa of the digestive tract, whose main purpose is to ensure the intracranial blood supply. When the gastric mucosa contracts to a certain degree, it will lead to vascular rupture and bleeding due to damage of the gastric mucosa. Due to the increase of intracranial pressure, it will lead to vomiting, so it will be manifested as vomiting blood in the terminal stage of cerebral hemorrhage. For the terminal state of cerebral hemorrhage, it is important to closely observe the changes in the patient’s vital signs.