Abstract: Objective To explore the acute traumatic epidural hematoma complicated cerebral hernia patients treated. Methods 43 cases of acute traumatic epidural hematoma complicated cerebral hernia patients with clinical data were retrospectively analyzed. Results All patients were surgery. Follow-up evaluation and half GOS 16 cases of 9 cases of residual, 5 cases of severe disabilities, 2 cases died, 11 cases of survival. Conclusion Early operation, Large trauma craniotomy and early treatment is the three key measures.