[ABSTRACT] objective: To study the diagnosis and treatment of intracerebral tension hematoma after the cerebral hemorrhage. Method: Retrospective study of the clinical materials of 24 cases with cerebral hemorrhage. Results: All of 24 cases was diagnosed cerebral hemorrhage in basal nuclei. The volumes of the hematomas were 20 to 30 millilitre. But the symptoms got serious in 9 to 20 days.CT examination again showed intracerebral tension hematoma after the cerebral hemorrhage.8 cases chose the treatement in department of internal medicine and 3 got cured. 16 cases were performed by the operation and the conditions of patients got better. Conclusion: The life would be saved and the prognosis could be improved if the patient was diagnosed earlier and the drainage of intracerebral tension hematoma via the skull was performed.