Abstract: Abstract Objective The clinical characters of young patients suffering from the hypertensive intracerebral hemorrhage retained to be well understood. In order to further inspect the disease and improve its diagnosis and treatment, the data of these kind of patients in our center were collected and analyzed. Methods The clinical data of 55 young patients(≤44years) with hypertensive intracerebral hemorrhage in our center were enrolled from the Feb. of 2007 to Feb. of 2013. The MRS（Multiple Rankin Scale）was applied to evaluate their prognosis. The GCS scores at admitting, body mass index(BMI),the status of the hypertension controlling before administration, the interval term between the stroke and the administration in hospital, the location of the cerebral hemorrhage and the volume of the hematomas were all analyzed to assay their correlation with the prognosis. Results The majority of the sufferers were male. The hemorrhage most appeared in the basal ganglia. The patients with hematoma in basal ganglia and bleeding in the ventricles had worse prognosis than other ones with hematomas in other locations. Furthermore, the bad prognosis appeared in the patients with low admitting GCS, huge hemorrhage volumes, overweight and lately administration after stroke. The patients were mostly died with moderate hemorrhage in early stage because of their primary diseases. The prognosis of all the surgical treating patients with the modulate size of hematomas was good. Conclusion: Controlling the blood pressure, losing the weight, receiving conserve or surgical therapy in the early phase and expanding the surgical criteria are all the important strategies to improve the prognosis of the young patients with hypertensive intracerebral hemorrhage.