目的 :明确高血压脑出血并发低渗性脑病的诊断和治疗。方法 :回顾性分析 16例高血压脑出血并发低渗性脑病患者的临床资料。结果 :所有患者经综合治疗 4～ 5天后基本状况均明显改善 ,复查血钠示正常或接近正常。结论 :大剂量脱水剂、利尿剂的应用及进食少是本组脑出血患者出现低渗性脑病的主要原因 ,早期诊断、早期治疗对降低病死率有重要意义 Objective: To confirm the diagnosis and treatment of hypertensive intracerebral hemorrhage complicated with hypotonic encephalopathy. Methods: The clinical data of 16 patients with hypertensive intracerebral hemorrhage complicated with hypotonic encephalopathy were retrospectively analyzed. Results: The basic condition of all patients after 4 ~ 5 days of combined treatment were significantly improved. The blood sodium level was normal or nearly normal. Conclusion: The application of high-dose dehydrating agent, diuretic and eating less are the main causes of hypotonic encephalopathy in patients with intracerebral hemorrhage. Early diagnosis and early treatment are of great significance in reducing mortality