Disorganized speech after cerebral hemorrhage is mainly caused by the increase of intracranial pressure after cerebral hemorrhage, and secondly, there may be psychiatric symptoms after cerebral hemorrhage. For this type of patients, treatment must first normalize the intracranial pressure through surgery or medication, and at the same time actively prevent and treat related complications and nutritional support, so that the patient gradually becomes stable. If the patient’s condition is stable, but he or she still speaks in a disorderly manner, it is necessary to consider whether there is a combination of psychiatric disorders, and a psychiatric consultation can be requested at this time. However, it is also necessary to rule out the combination of electrolyte disorders, and electrolytes need to be rechecked, because hyponatremia may also cause disorganized speech.