Some problems of cerebral blood vessel burst, ask the doctor for help!

According to your description, it should be diagnosed as cerebral hemorrhage caused by high blood pressure, and the 80% area you said should not be possible with blood, the key is to look at the amount and location of the bleeding. The surgery only cleared the hematoma and relieved the compression, but it is difficult to say how much brain function can be preserved, but it is good to be able to save lives. Tracheostomy is also one of the rescue measures, the purpose is to keep the respiratory tract open, if necessary, you can wear a ventilator, but also conducive to cleaning up the secretions of the respiratory tract, nebulization is to keep the respiratory tract moist.

As for when it will heal, it depends on the patient's mental recovery, and when he is able to breathe spontaneously and his consciousness becomes clearer, he can close the sutures. Since it is a right cerebral hemorrhage, left hemiplegia is certain, and it is very difficult to recover completely, but the language should not be affected (the language center is on the left side). Choking when eating and drinking is caused by bulbar palsy, paralysis of the pharyngeal muscles on one side, and uncoordinated choking, which will improve through adaptation and training.

The key now is to keep the patient awake as soon as possible, and if he is still unconscious, there is no way to talk about it. In fact, this situation is very tricky, and the plan is basically the same. Family care should be regularly turned over, paralyzed side of the limb massage, to prevent muscle atrophy, etc., but nursing is quite a laborious thing, and finally wish the patient a speedy **.

There's really no way to go to a better hospital.

Why do you have to be confined to Hunan Province?

Can't I transfer to another province?

Aren't there good hospitals in Shanghai, Beijing, these big cities?

This is a financial problem, prepare more money, raise enough money to go to a big hospital, and the disease may get better sooner.

Cerebrovascular rupture is cerebral hemorrhage, the damage to the cranial nerves is particularly large, and the functions innervated by the damaged cranial nerves have obvious disorders, such as limb paralysis, aphasia, etc., which are not easy to recover. (Doctor).

You're in luck and your family's surgery has been successful.

Disease analysis: cerebral vascular burst can cause intracranial hemorrhage, caused by hypertension, cerebral arteriosclerosis, cerebrovascular malformation, cerebral hemangioma, etc., in youth is mostly caused by cerebrovascular malformation, fever, headache, projectile vomiting and other symptoms.

Opinions and suggestions: It is necessary to conduct a comprehensive analysis according to the symptoms and the results of the examination to determine the targeted ** after diagnosis.

If you have gout, it is easy to cause the cerebral blood vessels to burst, so you must pay attention to it in your life.

igguxrgjtk8786048713

Eat more fruits and vegetables.

Such as apples, strawberries, mushrooms, celery, etc.

Be more active when you're fine.

Such as tai chi, walking, jogging, etc.

Check it out.

High latitude Tianshan "Down".

2012 4 23 AM 10:00:24armsfupsiz

Hello, according to your brief medical history, it is hypertension, cerebral blood vessel rupture and hemorrhage, rupture into the cerebral ventricles (ventricular puncture and drainage surgery has been performed), resulting in intracranial hypertension, cerebral herniation, brainstem compression, causing compression of the respiratory center, causing respiratory disorders (irregular, tidal breathing or apnea), and mydriasis. This is the most serious complication of intracerebral hemorrhage. The most important thing at the moment is:

1.Intensify dehydration**, reduce intracranial pressure (mannitol, furosemide, glycerol fructose, medona, etc., and even moderate amounts of hormones);

2.Control blood pressure (mean arterial pressure at basal level), but not so low as not to interfere with brain perfusion;

3.respiratory support (to observe whether spontaneous breathing is restored, prolonged absence of spontaneous breathing is a sign of brainstem failure, and the prognosis is poor);

4.prevention of stress ulcers, gastrointestinal bleeding (rational use of proton pump inhibitors, protective agents of the gastrointestinal mucosa);

5.Other symptomatic support** (e.g., keeping drains open, preventing and controlling lung infections, nutritional support, protection of vital organ functions such as heart, lung, liver, kidney, etc.).

Shao Yiming, Affiliated Hospital of Guangdong Medical College.

Four young men suffered cerebral hemorrhages and were killed at a young age. The reporter learned from the Department of Critical Care Medicine of the Zhongda Youda Hospital affiliated to Southeast University that the department recently admitted four cases of cerebral hemorrhage in young adults who were only about 35 years old. Experts warn that early intervention is necessary for young patients with hypertension.

According to Yang Yi, chief physician of the hospital's Department of Critical Care Medicine, Mr. Zhang is only 35 years old, young and promising, and is the backbone of the unit. Mr. Zhang's parents have high blood pressure, and he himself was diagnosed with high blood pressure during a physical examination last year, because he did not feel any discomfort and did not undergo necessary intervention**. A week ago, Mr. Zhang suddenly felt dizzy while climbing the stairs, walked unsteadily, and then lost consciousness.

He was sent to the hospital for immediate rescue, and after examination, it was found that the patient had a large hemorrhage in the brain stem, and finally lost his life.

Chief Physician Yang Yi pointed out that most of the four young patients with cerebral hemorrhage who were recently diagnosed with familial hypertension had blood pressure as high as 200 mm Hg in the blood pressure records that these patients had measured, but they did not take it seriously at all, and felt that it did not matter, one of the patients had been diagnosed with hypertension for 2 years, but had never taken medication to control blood pressure. Some people feel that their blood pressure is normal after taking the drug, and they are no longer **. In addition, these patients are obese and often have metabolic syndrome, which is high blood glucose, high blood lipids, and high blood pressure.

These are all risk factors for stroke. Experts pointed out that the recent cold weather, once the blood vessels are cold and constricted, or emotional and too tired, it will lead to a sudden increase in the already high blood pressure, causing blood vessels to burst. In recent years, the mortality and disability rates of intracerebral hemorrhage in young people are quite high, and the bleeding sites in these patients are often close to the brainstem, cerebellum and thalamus, and the condition is often more critical than that of the elderly.

If these young hypertensive patients control risk factors early and intervene effectively, stroke can be avoided in 80% of patients. First of all, young patients with familial hypertension should monitor their blood pressure frequently, and once abnormalities are found, they should find **, actively control hypertension, and accept regularization**. If the blood pressure is well controlled for a long time, the program should be adjusted in time under the guidance of the doctor.

Missing a dose of blood pressure medication or not taking it on time can cause blood pressure to fluctuate and worsen the condition. In addition, weight should be strictly controlled to prevent the development of metabolic syndrome and risk factors for stroke should be actively controlled.