高血压脑出血的病残率、死亡率高,是严重威胁人们生命与健康的多发病。据1967年统计,在日本一年间约有20多万人发病。而死于本病者,男为50,542人;女为42,693人。还有人报告说日本每年有16万人死于本病。长期以来,传统的内科疗法虽有提高,但效果仍不显著。对于外科治疗,在一个时期内曾有争议,本文就外科治疗方面的几个问题综述如下:一、高血压脑出血外科治疗的进展Cushing 氏时代:Cushing 氏(1903年),首先为一40岁的女性,根据偏瘫、神志障碍的神经学体征而作出内囊出血的诊断,并首次作 Hypertensive cerebral hemorrhage morbidity, high mortality, is a serious threat to people’s lives and health of multiple diseases. According to statistics in 1967, about 200,000 people were affected in Japan during the year. However, 50,542 males died and 42,693 females died of this disease. Others report that 160,000 people die from this disease each year in Japan. For a long time, the traditional medical therapy has improved, but the effect is still not significant. Surgical treatment has been controversial over a period of time, this article on the surgical treatment of several issues are summarized as follows: First, the surgical treatment of hypertensive intracerebral hemorrhage Cushing’s era: Cushing’s (1903), first of a 40-year-old Of women, based on neurological signs of hemiplegia, psychosis and make a diagnosis of internal capsule hemorrhage, and for the first time