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The timing of recovery after intracerebral haemorrhage depends on the location of the bleeding, the amount of bleeding, the presence of serious comorbid complications, and the timeliness of surgery. Generally, patients with mild intracerebral hemorrhage are awake within one month; The heavier ones are around March; The heavier ones are around June; After 6 months, if there are no clear complications of comorbidities (such as hydrocephalus), the likelihood of waking up is small.
Judging from the information provided: the current vital signs have stabilized, which means that the life has been saved; It's time to wake up next. The bleeding site is in the internal capsule, the amount of bleeding is not large, ventricular puncture and drainage is done, and there is cerebral herniation (brain herniation can cause compression of the brainstem, affecting the reticular ascending activation system and causing impaired consciousness), which may not be severe.
Therefore, whether you are awake depends mainly on the length of brain herniation and the degree of brain stem damage. It is likely to be sober within a month. As for the lumbar puncture, it is normal that the cerebrospinal fluid is not clear, after all, it takes about 1 month for such a large hematoma to be absorbed.
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It's hard to say, maybe I'll wake up tomorrow, your father's blood in the skull is almost gone, and the general situation is well controlled, it depends on the recovery of brain tissue, if the bleeding does not affect the reticular ascending system, it may just be a matter of time, now the key is where your father's bleeding is from? What is the cyst area**? Inner capsule?
Yes, it should mainly affect the strength of the limbs, and the patient will wake up sooner or later in the current situation, so you don't have to worry too much!
Supplement: 50ml is not much, generally the internal capsule can reach 50-60ml, there is an increase in intracranial pressure, brain herniation is not seen at present, but the dehydrating agent is used, don't worry too much, as for the cerebrospinal fluid is not clear, this is normal, because the cerebrospinal fluid protein can be increased during cerebral hemorrhage, and the protein is not clear if it is elevated, you can check the biochemistry and routine of your father's cerebrospinal fluid.
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My dad also had a sudden cerebral hemorrhage on April 14th, and now he is also in a shallow coma, nasogastric feeding, it's been 2 weeks, your dad has less bleeding than my dad, I hope you don't worry, slowly recuperate, this disease can't get better for a while, cooperate with the doctor**, patience, I believe your dad will**, because I have always believed that my dad will get better!
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Problem analysis: The bleeding in the brain stem should be very severe, and it may be difficult to wake up if it causes a deep coma. It depends on the degree of coma.
Suggestions: It is recommended to observe whether the painful reflex has improved, if the light reflex is improved, it is generally possible to wake up gradually, after stabilization, you can try to do hyperbaric oxygen to promote wakefulness, if the pupillary reflex is not good, it is difficult to wake up.
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Analysis:
If the patient's vital signs have been stable for 6 months, there is a possibility of recovery. The damage to brain tissue caused by intracerebral hemorrhage during coma has not recovered.
Opinions and suggestions: It is recommended to strengthen nutrition, eat easily digestible and nutritious food, turn over and pat your back regularly to prevent the occurrence of long-term bed bedsores, and if conditions permit, talk in your ear about things that have a great impact on his life and like to listen to songs, which is conducive to awakening.
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Comrade, this is indeed a big thing, and you must first of all stay calm and listen to me.
Hemorrhage in the brain is divided into 3 categories, external, cerebral cortex, and internal, the first two are easy to solve, but if it is inside the brain, the current level of medicine is not good, given that you are the brain stem, the only thing you can do is wait.
The only thing that can play a role is the luck of your dad's own brain, 1 or 2 days, it may be successful, because if there are not enough platelets in the brain, your dad will die quickly. But it is not denied that there will be a possibility of death. At this time, in order to prevent your father's "facial trauma" to him before his death, it is recommended that you go to church more often, rest and wait quietly, because now only he can save your father.
He also said that he should be more optimistic about this matter.
And you can listen to Chopin's piano music for your dad, which can help relieve brain stress.
Good luck to your dad again.
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Cerebral haemorrhage? That's basically no way.,If you can't wake up, you can only be a gameover or a vegetative person.,Permanent coma.,Most of the people who wake up are hemiplegia.,Mourning.。
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The key to brainstem hemorrhage depends on where the specific bleeding point is located in the brainstem, where the compression is, and whether the compression is relieved in time. However, most of the people located in the brainstem area are difficult**.
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The most important precautions for patients with cerebral hemorrhage is to control their blood pressure, if the blood pressure continues to rise, it is very unfavorable for cerebral hemorrhage, and it is necessary to control blood pressure within an ideal range, so as to help control and recover from cerebral hemorrhage. At the same time, it is necessary to pay attention to some other diseases, including hyperlipidemia and diabetes, and these underlying diseases should also be treated well**. In addition, for patients with cerebral hemorrhage, nursing is also very important, if the care is not good, there may be bedsores or inflammation and infection, so we must pay attention to turning over and knocking on the back on time. >>>More
If the patient has a large or multiple intracerebral hemorrhages, it is likely to have more severe mental and intellectual disability, usually characterized by negative pessimism, depression, and irritability. Other symptoms of sequelae of cerebral hemorrhage are headache, nausea, insomnia, dreaminess, inattention, tinnitus, dazzling, sweating, palpitations, unsteady pace, neck pain and fatigue, weakness, loss of appetite, memory loss, dementia, depression and other complicated but not particularly troublesome sequelae. Patients with cerebral hemorrhage should pay attention to the conditioning of the body, should supplement nutrition through a reasonable diet in time, and should also pay attention to rest more to avoid 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.