What to do about cerebral hemorrhage and how to treat it? What to do about cerebral hemorrhage

Intracerebral hemorrhage is done in different ways according to the cause of bleeding, the location of bleeding, and the amount of bleeding, such as drug hemostasis, intervention, craniotomy and so on.

Regardless of the cause of cerebral hemorrhage, it is a serious cerebrovascular disease that requires urgent treatment. If the patient suddenly develops headache, severe vomiting, hemilimb weakness, etc., it is necessary to suspect whether there is cerebral hemorrhage, and in this case, it is necessary to contact the ambulance and send him to the hospital for treatment.

If there is excessive bleeding in the brain, which has caused intracranial hypertension or even neurological deficits, surgery may be considered**. In addition to craniotomy to remove hematoma, more safe and effective methods have also been developed, such as cranial hematoma removal surgery, hematoma aspiration surgery, etc., which is less invasive and more effective. If the indication for intracerebral hemorrhage is not met, conservative is chosen.

Intracerebral hemorrhage refers to primary non-traumatic intraparenchymal hemorrhage, also known as spontaneous intraparenchymal hemorrhage, which accounts for 20% to 30% of acute cerebrovascular diseases and has the highest mortality rate among acute cerebrovascular diseases. The most common ** is hypertension with parvo, arteriosclerosis, and cerebral hemorrhage.

1. Bed rest, avoid emotional agitation and blood pressure continued to rise, keep the respiratory tract unobstructed, coma patients should tilt their heads to one side, in order to facilitate the flow of oral secretions and vomit, prevent the base of the tongue from falling back to obstruct the respiratory tract, prevent respiratory tract, urinary tract infection and pressure ulcers Excessive irritability Patients can use sedatives in an appropriate amount, and at the same time strengthen oral care, give dehydration to reduce intracranial pressure**, reduce cerebral edema, and regulate blood pressure bleeding. In the acute phase, systolic blood pressure greater than 18 mm Hg or diastolic blood pressure greater than 100 mm Hg can be given to stabilize blood pressure** and blood pressure should be closely monitored.

2. Surgery**. The main purpose is to remove the hematoma, reduce intracranial pressure, save lives, reduce the damage of the hematoma to the surrounding brain tissue as early as possible, and reduce the disability rate.

Three****. The affected limb is placed in a functional position at an early stage, and the condition allows for early limb function, speech impairment, and psychological development.

First of all, if you find a severe headache and other precursors of cerebral hemorrhage, you must not panic, try to stay in bed, keep quiet, it is best to call 120 for an ambulance, and try to move as much as possible. If you have to move, try to keep your head level and don't shake your head. The initial stage of intracerebral hemorrhage is crucial to the safety of the patient's life, and it is important to buy as much time as possible.

Because patients with cerebral hemorrhage may have factors that may cause suffocation such as the fall of the base of the tongue, it is necessary to pay attention to the patient's condition at all times before the ambulance arrives, ensure that the patient's breathing is smooth, and if there is oral secretions or vomit, it must be removed in time. If there is suffocation, artificial respiration should be performed in time.

Secondly, it is necessary to monitor blood pressure and adjust it in time to keep it stable, and for high blood pressure, it is necessary to take medication in time. If there is bleeding, stop the bleeding promptly.

Finally, it is necessary to be timely and regular** to prevent infection and bedsores and reduce complications. The commonly used methods of cerebral hemorrhage include medication and surgery, and the doctor will determine the specific method according to the actual situation of the patient.

At the scene of cerebral hemorrhage, the patient should be placed on his or her back with his head tilted to one side, so as to keep his respiratory tract unblocked, prevent vomit from blocking the trachea and causing suffocation, and call 120 to send him to the hospital in time**; After the diagnosis of intracerebral hemorrhage, according to the severity of the disease, such as the amount of cerebral hemorrhage is small, you can choose the drug conservative**, if the amount of bleeding is more, the condition is severe, and the intracranial pressure is increased in the short term, hematoma removal surgery, bone flap decompression surgery, and the condition needs to be stabilized.

Family members should restrain their emotions and do not shout loudly or violently shake the unconscious person in order to wake up the patient, otherwise the condition will deteriorate rapidly. Lying flat on the bed, due to the increased intracerebral pressure, such patients are very prone to projectile vomiting, if the vomit is not removed in time, it may lead to cerebral hemorrhage and suffocation of the comatose due to vomit blocking the airway. Therefore, the patient's head must be turned to one side so that the vomit can flow out of the mouth.

Family members can apply ice packs or cold towels to the patient's forehead to help stop bleeding and reduce intracerebral pressure.

Dehydration lowers intracranial pressure, regulates blood pressure, prevents continued bleeding, and maintains vital function. Prevent and treat complications to save lives, reduce mortality and disability rates, and reduce**.

Cerebral hemorrhage is very serious, it must be timely, and it will be better after recovery, but many will have sequelae, because cerebral hemorrhage is a more serious condition.

Hurry to the hospital! Let the doctor ** go. What else can I do?

Intracerebral hemorrhage is a severe acute cerebrovascular lesion, and the prognosis of patients is related to the amount of bleeding, the location of bleeding, the state of consciousness, and the presence or absence of complications.

Patients with less bleeding and less impact on brain function can recover basically and completely without sequelae, and the mortality rate of cerebral hemorrhage with large hemorrhage, brainstem hemorrhage, and impaired consciousness is higher. Most of the survivors will have varying degrees of sequelae such as movement disorders, speech and swallowing disorders, and cognitive impairment, but it is still possible to restore neurological function and improve the quality of life after active ** and ** training. **The process needs to pay attention to the following points:

First of all, it is necessary to pay attention to the prevention of cerebral hemorrhage, which is the key, among them, hypertension is the most important controllable risk factor, and active control of hypertension can effectively reduce cerebral hemorrhage. For patients with cerebrovascular structural abnormalities (aneurysm, vascular malformation, moyamoya disease, arteriovenous fistula, etc.), the above lesions are required, and surgery or endovascular intervention can be considered.

Secondly, it is necessary to strengthen the training, carry out the training as soon as possible after the condition is stable, and prevent the stiffness and atrophy of the paralyzed limbs and joints through active or passive exercise, and promote the recovery of the patient's neurological function.

Thirdly, in hospitals with acupuncture conditions, acupuncture** can not only promote the patient's consciousness but also activate the meridians, promote the recovery of the patient's nerve function, and enhance the patient's ability to take care of himself.

In short, cerebral hemorrhage is a complex process, through active prevention and prevention, it is preventable and treatable, cerebral hemorrhage can be mild and severe, mild cases can be completely recovered without leaving sequelae, severe cases can also improve the quality of life to the greatest extent through active ** and **.

Intracerebral hemorrhage refers to primary non-traumatic baremoparchymal hemorrhage, also known as spontaneous intracerebral hemorrhage. It accounts for 20% to 30% of acute cerebrovascular diseases. About 80% of hemorrhages occur in the cerebral hemispheres, and about 20% of hemorrhages occur in the brainstem and cerebellum.

Intracerebral hemorrhage includes both internal medicine and surgery, and most patients are mainly internal. If the patient is critically ill or has a secondary cause and surgery is found, surgery should be indicated**.

The basic principles of intracerebral hemorrhage include:

1. Dehydration lowers intracranial pressure and reduces cerebral edema.

2. Adjust blood pressure.

3. Prevent further bleeding.

4. Protect the brain tissue around the hematoma.

5. Promote the recovery of nerve function.

6. Prevention and treatment of complications.

Patients with intracerebral hemorrhage tend to be unstable for several days after the onset of illness and should be routinely treated with continuous vital sign monitoring, neurologic evaluation, and continuous cardiopulmonary monitoring, including cuff blood pressure monitoring, electrocardiogram monitoring, and oxygen saturation monitoring.

Surgery** includes:

1. Craniotomy hematoma removal. The role of surgery is to remove the hematoma and minimize secondary injury, and studies have shown that surgery and decompression in patients with cerebellar hemorrhage can reduce mortality and improve functional outcomes. Patients with cerebellar hemorrhage due to deterioration of neurological function or brainstem compression and ventricular obstructive hydrocephalus are advised to perform hematoma removal surgery if possible.

2. Minimally invasive surgery. It has the advantages of reducing surgical trauma, shortening surgical time, reducing local anesthesia operation, and anesthesia risk. In recent years, there have been the application of precision, stereotype, orientation, and puncture equipment, thrombolytic drugs to promote hematoma liquefaction and drainage, and local drug application and local monitoring after the establishment of surgical channels.

3. Decompression of bone flap. When other options are not available, neurosurgeons may resort to hemihalogenectomy as a last resort.

Ventricular hemorrhage, which mainly includes ventricular drainage and thrombolysis.