Abstract: Objective To summarize the experience of 32 patients with hypertensive cere-bral hemorrhage treated by minimally invasive puncture drainage.Methods Minimally invasive intracranial hematoma needle was used to pump,crush and flush,liquidate and drain hematoma. There were 16 cured cases (50%),8 improved cases (25%),4 progressive cases (12.5%),2 un-changed cases (6.25%)and 2 died patients (6.25%),the total effective rate was 87.5%.Con-clusion Minimally invasive treatment of intracranial hematoma puncture for hypertensive cerebral hemorrhage could strengthen basic nursing,closely monitor of the disease,prevent and timely de-tect potential complications,early do rehabilitation exercises,conduct home visits early.So it could promote the prognosis of patients and enhance the quality of life of patients.