Abstract: ［Abstract］〓Objective〖HTSS〗〓To investigate the influencing factors for the prognosis of spontaneous intracerebral hemorrhage in the elder patients in lingshui li autonomous county of Hainan island.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓The medical records of the 40 old spontaneous intracerebral hemorrhage patients(≥70 years old) were reviewed for age, gender, etc. to analyze the risk factors of prognosis in elderly patients with spontaneous intracerebral hemorrhage.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The average survival time of patients aged <80 years was longer than that of patients aged ≥80 years. And the average survival time of patients with the hospitalized Glasgow Coma Scale（GCS） score 15 was longer than that of patients with the hospitalized GCS score <15. The average survival time of patients with the intracranial hematoma <40mL was longer than of patients with the intracranial hematoma ≥40 mL. Multivariate Cox regression analysis found that only the midline shift was an independent prognostic factor influencing survival. With the extension of time, the cumulative survival rate of elder patients with intracerebral hemorrhage without midline shift was significantly higher than those with midline shift.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The old intracerebral hemorrhage patients with midline shift often have worse prognosis. Only midline shift was an independent prognostic factor of patients with intracerebral hemorrhage.

Key words: cerebral hemorrhage, prognosis, aged