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Naturally, the sooner the better, and the direct cause of death of acute intracranial hypertension is brain herniation. As long as the early intracranial pressure is properly controlled, the chance of brain herniation can be greatly reduced. The more dehydrated** you are, the worse the effect will be.
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The most common presenting symptom in patients with increased intracranial pressure is ( ) aVertigo bVomiting c
Blurred vision dHeadache View Answer Analysis [Correct Answer] D [Answer Analysis] Headache is the most common symptom of flammable intracranial hypertension. Hood.
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Answer]: A In children with cranial suture not closed, the increased intracranial pressure can cause the cranial suture to dehisce and correspondingly increase the volume of the cranial cavity, thereby alleviating the development of the disease; In the elderly, due to the increase in intracranial compensatory space due to cerebral atrophy, the increase in intracranial pressure occurs later, a is wrong. When the intracranial lesion expands rapidly, the intracranial pressure regulation function can be dysfunctional, and the crisis of increased intracranial pressure often occurs in the short term. When the lesion expands slowly, the intracranial pressure can not increase for a long time due to the presence of intracranial pressure regulation.
Intracranial midline or posterior fossa space-occupying lesions, obstructive hydrocephalus occurs due to easy obstruction of cerebrospinal fluid access, so the symptoms of increased intracranial pressure appear early and severe; When the lesion is located at a site that affects intracranial venous return, it is easy to increase intracranial pressure early. When cerebral edema associated with the lesion is obvious, the intracranial pressure is increased and the stool is lacking. Similarly, systemic disease can cause secondary cerebral edema that can exacerbate intracranial pressure.
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Lead Ming Answer] Waiter: c
The head is high and the foot is low, that is, the pillow is standing horizontally at the foot of the bed, and the head of the bed is raised by 15 to 30cm, so as to facilitate intracranial venous return and reduce brain tissue edema.
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Answer]: A Analysis: Consider choosing A for this question. In patients with increased intracranial hypertension, the condition worsens, considering the possibility of circumferential herniation complicated by herniation, the nature and location of the pathological band should be clarified as soon as possible, and craniotomy should be performed as soon as possible**. Master the knowledge of "increased intracranial pressure".
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Answer]: When the patient has acute intracranial hypertension, the patient has a decrease in blood pressure (systemic vascular compression reaction), a slowing of heartbeat and pulse, an increase in pulse pressure, a disturbance in the respiratory rhythm and an increase in body temperature.
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Answer] :d typical vital signs of patients with increased intracranial pressure are slow pulse, slow breathing, and elevated blood pressure.
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Answer]: cThe main purpose of Huaihail 15° 30° is to facilitate the return of intracranial veins and reduce the intracranial pressure.
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FYI: The current mainstream methods of intracranial aneurysm are divided into two types, one is craniotomy, clipping the aneurysm; The second is interventional surgery, the use of spring coils for endovascular embolization, the cost of the two types of surgery comparison, the operation is definitely cheaper, an aneurysm clip is about 3000-4000 yuan, under normal circumstances, if it is an aneurysm, the use will not exceed 3 aneurysm clips, so plus the cost of surgery and anesthesia, the cost of this operation can be controlled within 20,000 yuan, but because it is a craniotomy, the risk is relatively large, and it is more suitable for aneurysms in superficial areas that are easy to operate; The interventional surgery, in fact, is the same as your aunt's DSA, but also from the femoral artery catheterization, the difference is that the former is only imaging, and the operation is through this catheter to insert the metal spring coil, which plays the role of blocking the aneurysm, the cost is very high, generally a spring coil is thousands to tens of thousands of yuan, and an aneurysm, especially a wide-neck aneurysm, sometimes requires more than a dozen or even twenty spring coils, so it is impossible to get down without hundreds of thousands, but the advantage is that the risk is small, and the postoperative recovery is fast. For aneurysms that are difficult to operate with deep surgery, interventional surgery has its advantages.
You should ask the veterinarian directly, meningitis causes swelling of brain tissue, the space in the skull is limited, if the brain tissue is swollen, it will increase intracranial pressure, causing brain herniation, and the consequences are very serious, so take a dehydration drug to reduce cerebral edema and reduce intracranial pressure
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