Abstract: Objective: to analyze and discuss the clinical diagnosis and treatment of cerebral infarction actual cerebral hemorrhage. Methods: 100 cases of cerebral infarction after the March 2014 ~2016 year in January in our hospital bleeding patients, these patients were randomly divided into two groups: control group and observation group, the observation group of patients surgical treatment of small bone window hematoma, the control group underwent pore cranial drilling hematoma drainage treatment. Treatment effect were compared between two groups. Results: the total efficiency of the observation group (96%) was significantly higher than the control group (60%) (P<0.05), the mortality rate is not obvious difference between the two groups (P>0.05) of the two groups. Patients after treatment, recovery time, postoperative observation group, operation time, patients in the control group, postoperative complications and other related indicators were significantly better than P<0.05, with statistical significance. Conclusion: the study shows that small bone window hematoma. In addition to the effective treatment of cerebral hemorrhage after cerebral infarction, reduce the incidence of postoperative complications, shorten the time of surgery, it is worthy of clinical application and promotion.