该文报告了 14例心脏病患者体外循环心内直视术后并发脑出血的临床特点。出血时间在术后 2 4h～ 180d ,多数无明显诱因。发生率约占同期手术病人的 0 8% ,出血部位分别位于左或右基底节区 ,两侧脑室 ,大脑半球顶、枕、额、颞叶等区域。死亡率为 71 4% (10 14)。存活 4例中有 2例仍有半侧肢体运动障碍。作者认为脑出血预后凶险 ,重在预防。对体外循环心脏术后出现的剧烈头痛、烦躁、呕吐及意识改变者应警惕颅内出血可能 ,早期头颅CT检查、恰当的抗凝控制和及时对症处理可预防和降低并发死亡率 This paper reports the clinical features of 14 patients with heart disease undergoing cardiopulmonary bypass after cardiopulmonary bypass. Bleeding time after 2 4h ~ 180d, the majority of no obvious incentive. The incidence rate accounted for about 8% of surgical patients in the same period. The bleeding sites were located in left and right basal ganglia, bilateral ventricles, cerebral hemispheres, occipital, frontal and temporal lobe. The mortality rate was 71 4% (10 14). Two of the four surviving patients still had hemiplegia. The author believes that the prognosis of cerebral hemorrhage dangerous, focusing on prevention. Severe headache, irritability, vomiting and changes in consciousness after cardiopulmonary bypass surgery should be alert to possible intracranial hemorrhage, early head CT examination, appropriate anticoagulant control and timely symptomatic treatment can prevent and reduce the mortality rate