Objective To investigate the value of CT and MRI in the diagnosis and curative effect evaluation of cerebral infarction complicated with cerebral hemorrhage. Methods 56 patients with cerebral infarction and cerebral hemorrhage diagnosed by our hospital in February 2015-2016 December were selected, all patients underwent CT and MRI scanning. The imaging data and clinical data were collected, and the image manifestations of hepatic hemangioma in CT and MRI examination were analyzed,the results of MRI and CT examination in patients with cerebral infarction and cerebral hemorrhage were compared, and the bleeding site, bleeding volume and evaluate the clinical efficacy were analyzed. Results 56 patients underwent CT scan lesions were detected in 46 cases, the accurate diagnostic rate was 82.14%, the site of hemorrhage in the basal ganglia thalamus in 41 cases, 10 cases, 3 cases were located in the cerebellum, brain stem in 2 cases. MRI scan lesions were detected in 51 cases, the accurate diagnostic coincidence rate was 91.07%,a total of 72 bleeding foci were detected, with a detection rate of 100%. MRI and CT can clearly display the patient's postoperative situation, and the recurrence of the lesions showed abnormal high signal and unclear boundary. Conclusion The detection rate of MRI for cerebral infarction and cerebral hemorrhage is slightly higher than that of CT, MRI and CT can monitor the postoperative recovery of patients well, and can display the typical image features of cerebral infarction and cerebral hemorrhage, which has certain curative effect evaluation value.