In the past 4 years (1987-1991)

we have treated 70 cases of hypertensive intracerebral hemorrhage with various operative modes tn place of osteoplastic craniotomy. This paper is to summerize our experiences and thereby to evaluate their clinical significance.According to patient’s conditions we selectively adopted the following operative modes: small craniotomy; puncture of hematoma; stereotatic aspiration

infusion of urokinase into hematoma and ventricular drinage. Among 70 cases

11 patients died of postoperative complications. The mortality rate was 15.7%. The funtional outcomes for 6 months after hamorrhage were as follows; 27.2% excellent

37.4% good

15.2% fair

10.2% poor

5% dead and 5% unknown.From above data we may conclude; ( 1 ) there operative modes are simple

effective and safe

especially for eldirly and highrisk patients

(2) op-ration time is shortened

( 3 ) less trauma to the brain tissue

( 4 ) the use of local anesthesia minimizes anesthtic complications

maintains patient’s conciousncss

facilitates nursing care an’d early recovery

( 5 ) as compared with similar patient group previously operated by traditionr.1 osteoplastic craniotomy

these operative modes obviously produced better clinical results.The choice of operative mode as to the duration of hemorrhage

the indication of each operative mode

and the indication of surgical intervention as relatod to the amount of hemorrhage are fully discussed in this paper