Objective To observe the clinical effects of treating hypertensive intracranial hemorrhage with microreseting and aspiration.Methods 49 cases of cranial hemorrhage were treated by drilling skull,pancturing and aspiration the hemorrhage with YL-1 needle and by liquaficating the hematoma after located by CT scan.The effects were observed ac- cording the ADL grading.Results Those cases of recovery and improvement were 37(75.5%),unwarrwnted dis- charged cases were7(14.3%)and deaths in5(10.2%).Of those37 cases,the Ⅰ～Ⅴ grade of ADL were 13, 17,5,2 cases and 0 case respectively during half-year.Conclusion This operation is safe,simple,convenient and effective.