Objective To analyze the CT features and their correlation with prognosis of hypertensive cerebral hemorrhage. Methods CT imaging data and other data of 75 patients with hypertensive cerebral hemorrhage who were treated in our hospital during January 2013 to December 2014 were retrospectively analyzed. The CT features (including bleeding site, hematoma shape, bleeding volume and whether breaking into ventricle or not) of hypertensive cerebral hemorrhage were observed. According to mRS score, the patients were divided into the favorable prognosis group and the poor prognosis group. For CT features and their correlation with prognosis, univariate and multiple Logistic analysis were performed. Results CT features of hypertensive cerebral hemorrhage: basal ganglia hemorrhage accounted for 57.3%, regular hematoma shape for 81.3%, bleeding volume less than 30ml for 46.7%, bleeding volume more than 60ml for 18.7% and hemorrhage breaking into ventricle for 30.7%. The mRs score of patients with bleeding volume less than 30ml and 3 months after onset was significantly lower than that of 30- 30ml and more than 60ml (P<0.05). Univariate and multiple Logistic analysis indicated that age, cerebral hemorrhage volume and hemorrhage breaking into ventricle were the independent risk factors for poor prognosis of patients with hypertensive cerebral hemorrhage. Conclusion CT imaging features can be used as an important basis for evaluating the prognosis of hypertensive cerebral hemorrhage.