目的 :为了进一步提高高血压脑出血的手术效果 ,探讨其术后死亡原因 ,从而恰当选择手术病例 ,有利于降低该病的手术死亡率。方法 :对 2 5 6例手术中 72例死亡病例进行分析 ,找出与死亡相关的主要因素。结果 :认为死亡原因与术前意识状态、术前血压高低、出血量、发病至手术的时间及有无并发症相关。结论 :术前意识障碍程度越重、血压越高、出血量越大、发病至手术时间越长、并发症越多、其死亡率越高 Objective: In order to further improve the surgical outcome of hypertensive intracerebral hemorrhage and to explore the causes of postoperative death, the appropriate choice of surgical cases is beneficial to reduce the operative mortality of the disease. Methods: A total of 72 deaths from 256 operations were analyzed to identify the main factors associated with death. Results: The causes of death and preoperative awareness, preoperative blood pressure, bleeding, onset to surgery time and complications related. Conclusions: The more preoperative disturbance of consciousness, the higher the blood pressure, the greater the amount of bleeding, the longer the time from onset to surgery, the more the complications, the higher the mortality rate