目的探索高血压脑干血肿的外科治疗方法。方法采用ＣＴ监护立体定向幕上入路抽吸术治疗高血压脑干血肿３８例。男２７例，女１１例；年龄２８～６７岁，平均４５．５岁；血肿位于中丘脑１７例，桥脑２１例；发病距手术时间最短３小时，最长４８小时。结果术后经临床、ＣＴ、ＭＲＩ随访６～３５月，存活１７例，死亡２１例，死亡率５５．３％。结论ＣＴ监护立体定向幕上入路抽吸是治疗高血压脑干血肿的一种有效措施 Objective To explore the surgical treatment of hypertensive brain stem hematoma. Methods 38 patients with hypertensive brainstem hematoma were treated with CT monitor stereotactic supratentorial aspiration. 27 males and 11 females; aged 28 to 67 years, mean 45.5 years; hematoma in the mid-thalamus in 17 cases, 21 cases of pontine; incidence of surgery from the shortest 3 hours, up to 48 hours. Results Postoperative clinical, CT, MRI follow-up 6 to 35 months, 17 patients survived, 21 patients died, the mortality rate was 55.3%. Conclusion CT monitoring of stereotactic supratentorial suction is an effective treatment for hypertensive brain stem hematoma