When uremia is complicated by cerebral hemorrhage, it may be necessary to contact the brain surgery department for craniotomy if the amount of bleeding is relatively large. However, since the coagulation function of uremia patients is generally abnormal, the risk of craniotomy is higher than that of ordinary people, so the surgery may not be able to save the patient’s life. If the amount of cerebral hemorrhage in patients with uremia is small, we can use conservative treatment to treat it. If for patients who have urine, we can use mannitol dehydration to lower the cranial pressure. If the patient does not have urine, hemodialysis or peritoneal dialysis can be used to enhance ultrafiltration, which can also achieve a certain dehydration and lowering of cranial pressure. If the patient with uremia is on hemodialysis, heparin-free hemodialysis should be performed. If heparin is used, it may further aggravate the patient’s cerebral hemorrhage. If the patient is on peritoneal dialysis, there is no significant effect, and it may be necessary to switch to IPD to enhance the patient’s dehydration. If the blood pressure is high in patients with uremia complicated by cerebral hemorrhage, it is important to regulate the blood pressure promptly. If secondary infection occurs, active anti-infective treatment is also needed.