本文报告385例因各种原因接受血液透析的患者,发生脑出血7例(1.8％),均有严重高血压.临床特点是比其它脑出血患者年轻,出血量大,脑水肿重,急性期容易发生抽搐和消化道出血,治疗困难,预后极差.7例均在发病后平均30h内死亡.因此,作者认为应采取积极的预防措施,其中尤为重要的是控制高血压. This article reports 385 patients who underwent hemodialysis for a variety of reasons, and 7 patients (1.8%) developed intracerebral hemorrhage, both of whom had severe hypertension. The clinical features were younger, more bleeding, severe edema, and acute edema than those with other intracerebral hemorrhage Prone to convulsions and gastrointestinal bleeding, treatment difficulties, poor prognosis.All 7 patients died within an average of 30h after onset, therefore, the authors believe that should take active preventive measures, of which the most important is the control of hypertension.