Abstract: Objective: To summarize the clinical and CT features of 28 cases with hemorrhagic cerebral infarction(HCI). Methods: The clinical data, CT features, remedy measures and outcomes of 28 patients with HCI were analyzed. Results: The symptom was continued and deteriorated in 22 cases during hemorrhagic transformation (HT) period, hemorrhage was appeared in 21 cases within 4 days after cerebral infarction (CI), hemorrhage was identified in 9 cases at the first diagnosis, and 19 cases at re-examination, 17 cases were treated especially after HT,11 were not taken special treatment, 17 cases had a good outcome,11 cases had poor prognosis. Conclusions: There had different clinical performations and no obvious characteristic about hemorrhagic cerebral infarction,when the hemorrhagic transformation had diagnosed by brain CT,these related treatment including anti-platelet,promoting blood circulation,anticoagulation must be stopped,and the treatment should be based on the disease status and individualized.