Objective Two surgical methods， soft channel surgery and small bone window， were used to treat cerebral hemorrhage， exploring the incidence of early onset epileptic seizure and its influencing factors. Methods A total of 83 cases of cerebral hemorrhage patients were randomly divided into two groups， with 41 cases in soft channel surgery group and 42 cases in small bone window surgery group. The incidence of early onset epileptic seizures was observed。 Statistical methods were used to analyze the relationship between early onset epileptic seizures and various influential factors in both groups. Results Among the 83 cases， 7 cases of early onset epileptics were reported， accounting for 8.43%， of which there were two cases of soft channel surgery（ 4.88%）， and 5 cases of small bone window surgery group（ 11.90%）. The types of attacks in the two groups were in various forms. Single factor analysis showed that the hemorrhage of the cortex， the recurrence of cerebral hemorrhage， electrolyte disturbance， and pulmonary infection were prone to premature epileptic seizures. Logistic regression analysis showed that bleeding site， bleeding times， electrolyte disturbance and pulmonary infection were all related to the occurrence of early epileptic seizures， in which cortical hemorrhage was an independent risk factor. Conclusions The incidence of early onset epileptic seizures after treatment of cerebral hemorrhage in the soft channel orienting borehole hematoma is lower than that in small bone windows. Hemorrhage of the cortex， reoccurrence of cerebral hemorrhage， electrolyte disorder， and pulmonary infection are important factors that affect early onset epileptic seizures. Cortical hemorrhage is an independent risk factor. Seizures can occur in many forms.