Objective To evaluate the effect of operative treatment of hypertensive brain hemorrhage.Methods 46 cases wer operated on ultra-early or early with perfect operating skills.It is also important to select cases properly and use a series of comprehensive treatment after surgical operation,such as controlling blood pressure,preventing alimentary canal hemorrhge,pulmonary infection,reducing blood sugar and hypothermia mild.Results 7 out of 46 patients died.The evaluation of recovery of survival function depends on ADL.Grade Ⅰ 14 cases,Grade Ⅱ 12 cases,Grade Ⅲ 7 cases,Grade Ⅳ 4 cases,Grade Ⅴ 2 cases.Conclusion The operating curative effect for hypertensive brain hemorrhage can be improved if we grasp its indication,time,methods and comprehensive treatment correctly.