Objective To study on whether the apoptosis existed and the change of gene expression related to apoptosis by investigation of apoptosis of the cerebral contusion and expression of Bcl-2/Bax and caspase-3 related to apoptosis in human.Method We researched that apoptosis and gene expression of Bcl-2/Bax and caspase-3in brain tissues by FCM and immunohistochemical.Results Analysis showed that apoptosis of neuro-cell was related to patient's injury serious level and injury time(P0 05),but was not related to prognosis.The positive expression of Bcl-2 was related to prognosis(P0 05),but was not related to sex?age?GCS and injury time.The caspase-3 was highly correlated with the apoptosis,which showed the expression of caspase-3 was an indicator of apoptosis degree.Conclusions Apoptosis occurred in human brain after actue injury which fulfilled a function in pathological transformation of brain tissues. The expression of Bcl-2 was related to prognosis. The expression of caspase-3 could reflect the levels of apoptosis.