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What should I do if I have a sudden intracerebral hemorrhage in a hypertensive patient? Intracerebral hemorrhage is generally more common in middle-aged and elderly people, and it is caused by a sudden increase in blood pressure, resulting in the rupture of microvessels in the brain. Experts say that at the site of the hemorrhage foci, the blood can directly compress the brain tissue, causing cerebral edema to occur around it, and in severe cases, brain displacement, brain herniation, etc.
What should I do if I have a sudden intracerebral hemorrhage in a hypertensive patient?
Experts pointed out that patients with sudden cerebral hemorrhage should pay attention to first aid, once the patient has sudden numbness, weakness or paralysis of the limbs, crooked corners of the mouth, drooling, slurred language or aphasia, and some headaches, vomiting, visual ambiguity, consciousness disorders, incontinence and other phenomena should be sent to the hospital in time**.
What should I do if I have a sudden intracerebral hemorrhage in a hypertensive patient? Experts summarized the following points:
1. Remain calm and immediately lay the patient on his back. Do not rush the patient to the hospital, so as not to travel**, you can tilt his head to one side to prevent phlegm and vomit from being inhaled into the trachea.
2. When the patient is incontinent, it should be dealt with on the spot, and the patient's body should not be moved at will to prevent the aggravation of cerebral hemorrhage.
3. If the patient is unconscious and snoring strongly, it means that the base of the tongue has fallen, and the patient's tongue can be wrapped in a handkerchief or gauze and gently pulled out.
4. On the way to the hospital when the patient's condition is stable, the vehicle should drive as smoothly as possible to reduce bumps and vibrations; At the same time, raise the patient's head slightly, maintain a 20-degree angle to the ground, and pay attention to changes in the condition at any time.
5. Quickly loosen the patient's collar and belt, keep the indoor air circulating, pay attention to keeping warm when it is cold, and pay attention to cooling down when it is hot.
6. Cold towels can be used to cover the patient's head, because the blood vessels shrink when cold, which can reduce the amount of bleeding.
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First, to control the recurrence of intracerebral hemorrhage, within 6 hours after hemorrhage, the rate of recurrence of bleeding is extremely high, and it is necessary to control blood pressure, blood pressure below 160 mm Hg, and diastolic blood pressure below 90 mm Hg. Patients with increased intracranial pressure are given cranial pressure reduction and dehydration**; If there is a risk of brain herniation, the neurosurgeon should be contacted immediately for decompression. Amoxicillin should be given intravenously to prevent stress ulcers.
Patients who are comatose should be given prophylactic antibiotics to prevent the development of pulmonary infection.
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If you have a sudden cerebral hemorrhage with high blood pressure, you must go to the hospital for the first time, and you must not delay it at home, and the consequences of not running it are very serious.
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A sudden cerebral hemorrhage is bound to have some reactions and symptoms. In this case, try not to move, call 120** in time, and explain what the symptoms are in **.
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Intracerebral hemorrhage includes medical, surgical, and surgical. 1.Guard**.
1.In general, bed rest should be taken for 2 to 4 weeks to avoid emotional agitation and elevated blood pressure. 2.
Keep the airway open, aspirate secretions and vomit from the mouth at any time, tilt the head to one side and perform a tracheotomy if necessary. 3.Oxygen:
Patients with impaired consciousness and desaturation should be given oxygen. 4.Nasogastric feeding:
Patients who are comatose or have difficulty swallowing may be fed by nasogastric feeding. 5.Control blood pressure, dehydration, reduce intracranial pressure, and reduce cerebral edema.
Patients with excessive irritability can be given a moderate amount of tranquilizers; Laxatives are given to patients with constipation. 6.Observation of the condition:
Pay close attention to changes in the patient's consciousness, pupil size, blood pressure, breathing, etc. 7.Prevention and treatment of complications.
2.Surgery**. By removing the hematoma, the intracranial pressure is reduced, and the damage to the surrounding brain tissue is reduced in the early stage, saving lives and reducing the disability rate.
At the same time, it should be carried out for cerebral hemorrhage, such as cerebral aneurysm, cerebral arteriovenous malformation, etc. The following methods can be used: decompression, craniotomy of the small bone window, endoscopic hematoma removal, drilling or cone aspiration of the hematoma, minimally invasive hematoma removal, and ventricular hemorrhage puncture and drainage.
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I come to this question, what should I do if I have a sudden cerebral hemorrhage due to high blood pressure? I think that if you have a sudden cerebral hemorrhage with high blood pressure, you should call 120 as soon as possible and send it to the hospital in time.
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Sudden hypertensive intracerebral hemorrhage is usually one of the most serious complications of hypertensive disorders. Hypertension is a phenomenon in which the pressure value of the blood vessel wall caused by blood flow in the blood vessels is continuously higher than normal, and the long-term pressure on the blood vessel wall will lead to coronary heart disease, stroke and other serious diseases, and patients with hypertensive intracerebral hemorrhage need to go to the hospital for corresponding diagnosis in time**, and can take antiplatelet drugs according to the doctor's instructions**. During the ** period, blood pressure needs to be strictly controlled, so that the blood pressure is in a stable state can reduce the occurrence of complications.
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What should I do if I have a sudden intracerebral hemorrhage in a hypertensive patient?
Experts pointed out that patients with sudden cerebral hemorrhage should pay attention to first aid, once the patient has sudden numbness, weakness or paralysis of the limbs, crooked corners of the mouth, drooling, slurred language or aphasia, and some headaches, vomiting, visual ambiguity, consciousness disorders, incontinence and other phenomena should be sent to the hospital in time**.
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For patients with hypertensive intracerebral hemorrhage, it is necessary to stay on bed rest, control blood pressure, avoid patient agitation, and prevent secondary hemorrhage. After the operation, it is necessary to strengthen nursing, turn over and pat the back on time, assist the patient's limb movement, and prevent complications.
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Patients with high blood pressure should call 120 for emergency treatment if they have a sudden cerebral hemorrhage**. While waiting for rescue, it is necessary to keep the patient's airway open, clear respiratory secretions, avoid aspiration, and reduce the carrying of the patient's head. If the patient has symptoms such as syncope and cardiac arrest, cardiopulmonary resuscitation should be performed in time.
The doctor will formulate a reasonable plan according to the patient's bleeding site and bleeding size. If the amount of bleeding is relatively small and the patient does not have significant impairment of consciousness, it can be conservative**. If the bleeding is heavy and impairs consciousness, surgery is required**.
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If the patient has a sudden intracerebral hemorrhage due to hypertension, the patient should first be placed on his or her back and then tilted his head to one side of the body so that the vomit in his mouth can flow out smoothly; In addition, care should be taken to help the patient quickly loosen the belt and tie on his body so that his normal breathing is not affected. Second, be sure to call the emergency services for help immediately. Before the ambulance arrives, remember not to move the patient's body at will, and also be careful not to shake the patient, otherwise it is likely to lead to an increase in the amount of bleeding in the brain tissue of the patient's lesion site, and the cerebral edema will increase, resulting in an aggravation of the condition and an increase in the risk of death for the patient.
Before the ambulance arrives, ice should be removed from the refrigerator and then wrapped in a towel and placed on the forehead of a person with a cerebral hemorrhage to physically cool down. This physical cooling method mainly reduces the amount of cerebral hemorrhage by causing the patient's blood vessels to constrict. In addition, the reduction of body temperature can also help the brain reduce oxygen consumption, which can play a certain role in the recovery of brain cells. )
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First aid for sudden cerebral hemorrhage with high blood pressure should be rescued nearby, the patient should be moved as much as possible, the patient's respiratory tract should be kept unobstructed, the head should be slightly raised, slightly tilted back, and deviated to one side, if there is hemiplegia, it should be biased to the paralyzed side. Remove the vomit from the patient's mouth in time, give oxygen to patients with obvious hypoxia, aspirate secretions from the trachea in time, and give endotracheal intubation or tracheostomy in time when there is respiratory obstruction and suffocation.
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Intracerebral hemorrhage caused by hypertension should be treated according to the clinical symptoms after intracerebral hemorrhage, 1. The patient's respiratory tract should be kept unobstructed, the head should be tilted to one side, and a large amount of secretions in the respiratory tract should be cleaned to avoid aspiration; 2. Reduce handling and keep the head high; 3. Call for help in time, dial 120, and transfer to the nearest hospital for disposal in time; 4. When convulsions occur, try to avoid accidents such as tongue bites; 5. When there is syncope or respiratory and cardiac arrest, active cardiopulmonary resuscitation should be given.
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The method of hypertensive intracerebral hemorrhage depends on the bleeding site and the amount of bleeding, as follows:
1. Conservative**: It is suitable for patients with small bleeding or deep parts and difficult surgical operations, and it is necessary to closely observe the patient's consciousness and pupil changes, control blood pressure and intracranial pressure, and give symptomatic support such as hemostasis, anti-inflammatory, and rehydration**;
2. Surgery**: If the blood loss is 30ml and the location is close to the basal ganglia area, surgery** is recommended, such as minimally invasive puncture and aspiration of intracranial hematoma in hard channel, craniotomy hematoma removal in small bone window, etc.
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In the case of intracerebral hemorrhage caused by hypertension, the following measures should be taken:
1. Admission to the hospital in the emergency, stay in bed quietly for 2-4 weeks, avoid meeting visitors, emotional agitation, constipation, getting out of bed, etc.
2. Reduce excessive blood pressure, maintain it smoothly at about 160 90 mm Hg, if the blood pressure is too high, it will lead to re-bleeding, and low blood pressure will cause cerebral hypoperfusion.
3. To reduce intracranial pressure and control cerebral edema, intravenous infusion of mannitol can be given.
4. When the amount of bleeding is relatively large, such as the basal ganglia bleeding is greater than 30 ml, surgical removal of the hematoma can be considered.
5. After the absorption of cerebral hemorrhage is stable, **** can be given.
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If there is a sudden cerebral hemorrhage in hypertension, you should be rushed to the hospital for treatment, because the more timely the rescue, the milder the condition will be!
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What should I do if I have a sudden high blood pressure and a cerebral hemorrhage? At this time, be sure to calm down, do not worry, make the patient lie flat and dial 120 at the same time, and then apply a cool towel to the door of the brain to reduce blood flow.
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High blood pressure sudden cerebral hemorrhage, first of all, we have to call 120 quickly, and after that, the situation of the first month will be urgent for the patient, and then let him not use a resistance.
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Experts pointed out that patients with sudden cerebral hemorrhage should pay attention to first aid, once the patient has sudden numbness, weakness or paralysis of the limbs, crooked corners of the mouth, drooling, slurred language or aphasia, and some headaches, vomiting, visual ambiguity, consciousness disorders, incontinence and other phenomena should be sent to the hospital in time**.
What should I do if I have a sudden intracerebral hemorrhage in a hypertensive patient? Experts summarized the following points:
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If there is a sudden cerebral hemorrhage with high blood pressure, then call 120 as soon as possible, and strive to let the patient go to the hospital in the shortest possible time**, for such patients, time is life, and the sooner you find it, the sooner you send it to the hospital, the safer it is.
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When encountering cerebral hemorrhage caused by high blood pressure, do not move the patient, let the patient lie on the spot, if the patient is unconscious, let the patient turn his head sideways to accompany the patient to aspirate when vomiting, if there are antihypertensive drugs around, let the patient take it under the tongue, and let the patient who is not comatose let oral antihypertensive drugs and hemostatic drugs, and then call 120 first aid.
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I have high blood pressure and suddenly have a cerebral hemorrhage, which is indeed very serious, the best way is to lie down and not move, and then quickly dial 120 and let the doctor come to the rescue, don't dare to move.
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First of all, it is necessary to control the recurrence of cerebral hemorrhage, within 6 hours of cerebral hemorrhage, the probability of recurrence of cerebral hemorrhage is extremely high, the highest important thing is to control blood pressure, and then immediately send to the hospital for treatment, so as to ensure life safety.
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What should I do if I have sudden bleeding, I have to go to the hospital immediately, I have to go to the hospital to solve this problem, this problem is very easy to solve if I go to the hospital, and it is not easy to solve this problem if I solve it myself.
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The first step is to control the recurrence of intracerebral hemorrhage, which has a very high rate of recurrence within 6 hours of hemorrhage, and the most important measure is to control blood pressure within 160 mm Hg systolic blood pressure and 90 mm Hg diastolic blood pressure.
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What to do about hypertensive intracerebral hemorrhageFor this problem, relevant people said that high blood pressure leads to craniocerebral hemorrhage, which is most common in the elderly, and the purpose of surgery is mainly to remove the hematoma, reduce intracranial pressure, and make it possible for the compressed (not destroyed) neurons to recover.
What to do about hypertensive intracerebral hemorrhage First of all, keep quiet, reduce unnecessary movement, keep the airway open, gradually reduce excessive blood pressure, cerebral edema, and reduce intracranial pressure. At present, there is still controversy about the surgical treatment of hypertensive intracerebral hemorrhage, and specific analysis should be carried out according to the patient's general condition, the location and size of the hematoma, and the evolution of the disease.
The main purpose of surgery is to remove the hematoma, reduce intracranial pressure, make it possible for the compressed (not destroyed) neurons to recover, prevent and alleviate a series of secondary pathological changes after hemorrhage, and break the vicious circle of life-threatening. However, based on different data and different units, the choice of surgical indications is also different. As a result, the results are very different and incomparable.
The indications for surgery that are currently accepted by most people are roughly as follows:
1) A certain degree of consciousness and neurological function is retained after hemorrhage, and then gradually deteriorates, but the manifestations of brain herniation are not obvious, indicating that the primary damage may be reversed, and the deterioration of the condition is often closely related to the increase in intracranial pressure. Therefore, surgery has the potential to be life-saving and should be actively considered.
2) Cerebellar hemorrhage: because the hemorrhage is close to the brainstem, and there is often no obvious aura before irreversible deterioration. In order to prevent the above conditions, surgery is the only effective means. Unless the clinical symptoms are mild and the amount of bleeding is small (<10ml).
3) If the cause of bleeding is not diagnosed clearly, and it is suspected that it is a vascular malformation or aneurysm, surgical exploration should be performed to further clarify.
4) The evaluation of surgical hematoma removal on neurological recovery is uncertain and theoretically meaningful, but it cannot be fully confirmed in clinical terms. Therefore, it is important to keep this in mind when choosing a surgery.
Symptoms of Cerebral Hemorrhage Due to High Blood Pressure Symptoms of Cerebral Hemorrhage Hypertension leads to cerebral hemorrhage, which is most common in older people and has begun to develop in middle-aged people around the age of 40. Hypertension often leads to lesions in the arterioles at the base of the brain, which are characterized by vitreous or fibrous degeneration and localized hemorrhage, ischemia and necrosis on the walls of these arterioles, weakening the strength of the blood vessel walls, resulting in localized dilation and the formation of microaneurysms.
The main cause of this disease is high blood pressure, especially when the patient's emotions are abnormally strong and excited. When this happens, the patient will experience the following symptoms:
1. Severe headache, nausea, retching symptoms begin to appear, and the mood becomes extremely irritable, and some patients will experience coma and drowsiness;
2. Abnormal pupil changes, pupil narrowing in the early stage, and intracranial pressure increases with the increase of blood pressure in the later stage, which leads to the risk of pupil spread of hematoma;
3. In severe cases, the patient begins to have breathing disorders, begins to weaken the pulse, increases blood pressure, and then begins to have central failure.
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If it is manifested solely by high blood pressure, dehydration, sedation, and nasogastric feeding antihypertensive drugs can be used. Nitroprusside should not be used long-term. View the original post
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.
You can use a miracle to do ** exercise, it's still good.