Brainstem hemorrhage, pupil dilation, no spontaneous breathing

Is it a cerebral hemorrhage? It's really sympathetic, but the hope is really too slim and too slim, it is recommended to prepare early, and the current hospital is actually just a comfort to the family, and it is estimated that it will not be more than 2 days.

Let's listen to the doctor.

After all, none of us are doctors or specialists.

We're just good Samaritans at best.

Now that science is well developed, listen to the doctor's solution.

Brain stem hemorrhage, nine deaths, a lifetime for the survival of plants.

Mourn.

As with my father, I guess there are still a few hours left to mourn.

1) Brainstem hemorrhage is an acute and severe neurological disease, with a poor prognosis and a high mortality rate.

2) If the amount of brainstem hemorrhage is less than 15ml, the mortality rate is about one. The amount of bleeding in the brainstem is more than 15ml, and the mortality rate is about one. Among them, the mortality rate is higher for brainstem hemorrhage of more than 20 ml.

3) For patients with less brainstem hemorrhage (about 6 9ml), generally after a large amount of albumin is applied for about 1 2 weeks, most of the consciousness disorders have recovered, the brainstem dysfunction has improved significantly, and the vital signs tend to be stable.

4) In patients with moderate brainstem hemorrhage (about 10 14ml) and severe symptoms, high-dose continuous application of albumin is generally about 3 to 4 weeks, and some patients' vital symptoms gradually stabilize.

Lung infection is one of the complications of intracerebral hemorrhage. The risk factors for pulmonary infection in patients include: (1) severe onset of disease, and the body's preventive function is reduced after the onset of the disease; (2) Most of the patients are middle-aged and elderly, with weak disease resistance and are prone to nosocomial cross-infection; (3) The patient has different degrees of dysphagia, which is easy to cause aspiration; (4) Impaired consciousness, sluggish cough reflex, and inadequate discharge of secretions from the oropharynx and trachea; (5) Absolute bed rest for a long time due to the disease, resulting in the accumulation of respiratory tract and lung secretions; (6) There are relatively many invasive operations of various kinds, such as:

Nasal cannula oxygen, gastric intubation, and endotracheal intubation increase the chance of bacteria being introduced into the body.

Prevention should pay attention to providing a safe and comfortable environment Place patients in a quiet, tidy and comfortable ward, regularly open windows for ventilation, wet cleaning, keep indoor air fresh, temperature at 18 20, relative humidity at 55% 60%, limit or reduce personnel control, and indoor air ultraviolet disinfection once a day. Care should be taken to prevent patients from getting cold, because cold can cause airway vasoconstriction, mucosal epithelial ischemia and hypoxia resistance, and bacteria are easy to invade. Keep the mouth clean, remove oral secretions, food residues and vomit in time, and eat semi-liquid and easily digestible food, small meals and frequent meals, so that the stomach can be emptied in time.

In order to prevent reflux of nasogastric food, the nasogastric feeding speed should not be too fast, and the nasogastric feeding should not be too much, and the nasogastric feeding should not be too much each time, and try not to turn over and suction, so as not to cause vomiting.

The presence or absence of a lung infection is not critical for intracerebral hemorrhage in the acute phase. The key is to see whether there is further bleeding, whether cerebral edema is further aggravated, whether cerebral herniation will form, and whether the bleeding will inhibit the respiratory center.

The risk period of intracerebral hemorrhage is generally the most dangerous in the first week, as the amount of bleeding increases and cerebral edema worsens, the patient's symptoms will gradually worsen, and the patient's life can be in danger at any time. Only a few can survive the 7-day pass. However, some cerebral hemorrhages generally have to wait for 15 days for the symptoms to be relieved before the danger period is over.

He's sure he'll get better, and I pray from the bottom of my heart!!

Kidney failure can be fatal, it's just a matter of time before there is silence.

Hello, after cerebral hemorrhage, the condition often deteriorates with the progression of cerebral edema, and even cerebral herniation, which is life-threatening, the peak of cerebral edema is 3-5 days, and the entire edema period is about two weeks, and the edema period is over, and the intracranial situation can gradually stabilize. The landlord's father's condition is more common, hypertensive cerebral hemorrhage, the intracranial pressure may be fine at that time, conservative **, and later estimated that the CT was reviewed, the cerebral edema progressed, and the craniotomy hematoma was removed + decompression, and the intracranial pressure was relieved at the end of the operation, and the condition may have improved slightly, but with the arrival of the peak of edema, cerebral herniation, respiratory arrest, dilated pupils, intubation, sent to the ICU for ventilator, and shock. Probably such a process, right?

At present, there is no special, first of all, life support, mechanical ventilation, anti-shock, then mannitol, furosemide and other dehydration to lower intracranial pressure, followed by infection prevention, nutritional support, etc., there is no special way to live, wait a few days to see.

FYI.

is already in the hospital, so I will listen to the doctor, nothing more than lowering cranial pressure, protecting the brain, and waiting for luck to come.

Analysis:

Hello, the medicine to control high blood pressure depends on the patient's blood pressure, not too high blood pressure, not too low blood pressure, too high blood pressure for fear of bleeding again, too low blood pressure for fear of causing cerebral volume depletion and causing hemorrhagic cerebral infarction, so it is more difficult**. The patient's optimal blood pressure should be controlled at 145 to 150 mmHg systolic and 90 mmHg diastolic.

Guidance: During the recovery period of cerebral hemorrhage, it is better to adopt comprehensive methods such as TCM syndrome differentiation and treatment, acupuncture and moxibustion, massage and functional exercise. And it is necessary to strengthen exercise and exercise as soon as possible to promote the affected body as soon as possible and minimize the occurrence of sequelae.

Problem analysis: Hello, I have your question about "brainstem hemorrhage". Brainstem hemorrhage, which is a common disease in modern times.

I couldn't breathe on my own, but now I can breathe on my own. "Hail detection? Not bad!

Isn't that a big step forward?

Suggestions: Suggestions: 1. Follow the attending doctor's best plan; 2. Pay attention to rest; Third, the key to the most urgent manuscript is to be in a stable mood. Thank you for your inquiry and see you soon!