本文对２０例重型高血压脑出血进行了临床病理分析，结果表明重型高血压脑出血以外侧混合型多见，出血量很大，常继发脑室出血、蛛网膜下腔出血及脑干出血。临床表现为起病前、后血压都很高，意识障碍出现早，瞳孔不等大或双瞳孔缩小，常有去脑强直、完全性肢瘫及双侧病理反射阳性。本组资料提示脑出血的严重程度并非取决于出血部位，主要取决于出血量的大小。坚持长期有效地治疗高血压仍是预防重型高血压性脑出血的根本措施。 In this paper, 20 cases of Hypertensive intracerebral hemorrhage were analyzed clinically and pathologically. The results showed that Hypertensive intracerebral hemorrhage with lateral mixed type is more common, with a large amount of bleeding, often secondary to intraventricular hemorrhage, subarachnoid hemorrhage and brainstem hemorrhage. Clinical manifestations of pre-onset and post-stroke high blood pressure, disturbance of consciousness appeared early, pupil ranged or double miosis, often demyelinating, complete limb paralysis and bilateral pathological reflex positive. The data suggest that the severity of cerebral hemorrhage does not depend on the bleeding site, mainly depends on the size of the amount of bleeding. Adhere to the long-term effective treatment of hypertension is still the fundamental measure to prevent severe hypertensive intracerebral hemorrhage.