目的　探讨脑脓肿并发脑出血的影像学特点及诊断问题。方法　分析CT诊断为脑出血但手术证实为脑脓肿合并出血 2例的有关临床资料。结果　 2例CT高密度影实为脓血混合物 ,其周边有脑水肿的征象 ,1例因误诊致术中脓液外溢并发颅内感染死亡 ,1例确诊后经手术成功救治。结论　脑脓肿合并出血会出现类似脑出血的CT征象 ,它与脑出血的区别在于高密度影周围存在低密度区 Objective To investigate the imaging features and diagnosis of intracerebral hemorrhage complicated with brain abscess. Methods The clinical data of 2 cases diagnosed as brain abscess by operation of CT diagnosis of cerebral abscess were confirmed. Results Two high-density CT images of pus and blood were included in this study. Peripheral signs of cerebral edema were observed. One patient died of intracranial infection due to spillover due to misdiagnosis. One patient was diagnosed successfully by surgery. Conclusion Cerebral abscess combined with bleeding will appear similar to CT signs of intracerebral hemorrhage, it is different from cerebral hemorrhage in the presence of low-density area around the high-density shadow