Cerebral hemorrhage is the most serious type of acute cerebrovascular disease, and is currently one of the most lethal diseases in the middle-aged and elderly. Once cerebral hemorrhage occurs, the condition is dangerous and develops very rapidly, and the mortality rate is extremely high. If it is not detected and treated in time, it will lead to death due to respiratory and circulatory failure. Recently, Puhua had such a patient who was critically ill after cerebral hemorrhage surgery. The patient, Mr. Liu, is 60 years old and comes from Junan County, Shandong Province. He had a sudden onset of unconsciousness more than two months ago and was seen at a local hospital, where he underwent an imaging examination suggesting cerebral hemorrhage and increased intracranial pressure, and received external drainage by puncture. One month ago, he developed intracranial infection and was transferred to a tertiary hospital in Qingdao for treatment. The examination revealed that the patient’s cerebrospinal fluid leukocytes reached 40,000/ul, and CT showed purulent fluid in all ventricles of the brain with pulmonary infection. The hospital treated Master Liu under the guidance of Director Zheng Yi of the Intensive Care Unit of Tiantan Hospital, and eventually the patient’s intracranial infection basically improved and the cerebrospinal cord leukocytes returned to normal, curing Master Liu. A few days after the ventricular drainage tube was removed, the patient developed symptoms again, vomiting frequently, causing loss of muscle strength in the limbs and sudden weakness in breathing. Once brain herniation occurs, the mortality rate is extremely high, and if intracranial hypertension is not controlled in a timely and effective manner, death is a matter of minutes and seconds. Subsequently, the doctor informed Liu’s son that there was little point in continuing treatment because the patient was in a coma for a long time. The family began to gradually lose confidence in the patient with this statement. However, after learning the news, Director Zheng Yi, after several round trips to consult with Master Liu, thought that there might still be a way to save him. So, under the recommendation of Director Zheng Yi, the family held a glimmer of hope and transferred Master Liu to Beijing Tiantan Puhua Hospital for treatment. Upon arrival at Puhua Hospital, Master Liu’s condition was very serious. His pupils were dilated, he was deeply comatose, his light response was dull, and his CT showed enlarged ventricles with irregular morphology. There was only weak abdominal breathing, and blood pressure was difficult to control despite the maintenance of large amounts of dopamine. The main diagnosis was chronic intracranial infection, brain herniation and circulatory failure. Seeing that Master Liu was almost about to lose his life, there was no time to delay and he was immediately treated symptomatically. On November 3, the neurosurgery department headed by Director Han Xiaodi and Director Fu Bing conducted a preoperative meeting and, through a comprehensive diagnosis, considered ventriculoperitoneal shunt for Master Liu and explained the situation to his family. At the same time, the local doctor called Master Liu’s son and said not to do the shunt, which made the family members hesitate. In the end, they chose to trust Puhua and agreed to operate on Grandpa Liu. It was due to the precise diagnosis of Director Han Xiaodi and Director Zheng Yi that the treatment plan was resolute. After the operation, Grandpa Liu began to show signs of improvement, and the pupils were seen to be retracted and responsive to light on re-examination, which indicated that the brain tissue compression was relieved in time. The patient’s general condition improved after the bypass, and he could be taken off the ventilator on a trial basis according to his breathing condition. On the fourth postoperative day, the patient was discharged from the ventilator on a trial basis, and his breathing was relatively stable. The patient’s consciousness improved to a light coma, and he could move his fingers and open his eyes on his own. The family was overjoyed by this phenomenon and felt very miraculous, knowing that they had been told to give up treatment not long before. During his hospitalization, under the close supervision of Director Zheng Yi and the careful care of the medical and nursing staff of Puhua, Master Liu did not have any complications or sudden symptoms such as pressure sores and blood clots from his long stay in bed, and his condition was stable and under control. At the same time, the medical staff also encouraged the patient’s family to have firm belief and active cooperation, telling them that although Master Liu had not fully recovered consciousness, he would respond to auditory stimuli, so it was also important to talk to him frequently and tell him stories and other affectionate therapies. However, due to the serious injury to the brain tissue and long-term bed rest, the patient had old deformity flexion of the right elbow, muscle atrophy of the limbs and trunk, and drooping of both feet, and might face hemiplegia. on November 9, the rehabilitation department intervened for a consultation and formulated a rehabilitation goal and treatment plan according to the patient’s individual situation. From the mouth of Liu’s son, he learned that when he saw his father open his eyes and detach himself from the grasp of death at that moment, he was even able to move his fingers and paddle his arms, he felt so amazing and praised the doctors of Puhua with thumbs up one after another. He was very grateful to the three directors, Han Xiaodi, Zheng Yi and Fu Bing, for saving his father’s life and giving hope to the family. At the same time, they also felt relieved about the attentive care of the nursing staff. Unlike the previous new symptoms that appeared one after another, under everyone’s care, Master Liu’s condition not only stabilized, but also no new symptoms appeared, and kept saying, “Your technology is so great! It’s amazing!” . In addition, he also praised the hospital environment of Puhua, which is not like a cold hospital at all, but like a warm family. At present, Master Liu continues to receive symptomatic treatment and ICU monitoring treatment. We believe that in a short period of time, Master Liu will be able to get better!