To summarize the experience of treating intracranial hematoma complicated with cerebral infarction.

A retrospective analysis of the clinical data, treatment and results of 22 patients of intracranial hematoma treated by craniotomy from June 2010 to December 2017 in the Department of Neurology, Jinxiang Hospital Affiliated to Jining Medical College.

Twenty-two patients rechecked CT after operation within 24 h, 7 patients died, 3 patients severe disability, 5 patients mild disability, and 7 patients were normal. On the 3-7 d after the operation, the cerebral CT showed that the density of the cerebral gyrus localized in the low density region, 1 patient infarcted in the middle cerebral artery, the infarcts in the posterior cerebral artery were basically recovered, and the cerebral hemisphere infarction patients did not cure of blood supply.

Early detection of the high risk factors of cerebral infarction associated with intracranial hematoma removal can greatly increase the success rate of rescue and reduce the death and disability rate of patients.