目的总结微创治疗高血压性脑出血的手术相关并发症及其防治。方法对1996年6月～2006年12月该科收治的脑出血行微创手术者进行统计,了解手术本身所致并发症的种类,分析其发生原因及临床症状,总结防治措施。结果微创手术并发症占病例总数的23.1%,轻者如肺部感染、电解质紊乱等,对症治疗后好转;重者如再出血、颅内感染等可加重病情,甚至危及生命,有的需紧急手术。结论微创治疗脑出血会出现多种手术相关并发症,应分析各种相关因素,尽量避免发生。 Objective To summarize the operative complications and its prevention and cure of minimally invasive treatment of hypertensive cerebral hemorrhage. Methods From June 1996 to December 2006, the patients who underwent minimally invasive intracerebral hemorrhage in our department were surveyed to find out the types of complications caused by the operation itself, analyze its causes and clinical symptoms, and summarize the prevention and treatment measures. Results Minimally invasive surgery accounted for 23.1% of the total number of cases, the light such as lung infection, electrolyte disorders, symptomatic treatment improved; severe cases such as rebleeding, intracranial infection can aggravate the disease, and even life-threatening, and some need Emergency surgery. Conclusion Minimally invasive treatment of intracerebral hemorrhage will occur a variety of surgical complications, should analyze a variety of related factors, try to avoid.