How did a minor intracerebral hemorrhage occur spontaneously or was it caused by a fall? 30

Hello, there are many causes of cerebral hemorrhage in life, and the occurrence of cerebral hemorrhage should be paid attention to, go to the hospital for examination in time, find out the most targeted plan, so that it can be more targeted, and usually do a good job in related nursing work, and the effect will be better.

It is recommended to go to a regular specialist hospital for encephalopathy with medical insurance qualifications, so that not only can it be targeted, but also training can be carried out under the guidance of doctors, and the medical insurance fee is reasonable. There is no best, only a hospital that is more suitable for you, I hope it will help you.

I think this has to clarify the medical history, that is, whether she lost consciousness when she was driving a motorcycle, that is to say, whether she knew that she had fallen this process, this is very important, if she did not know that she had fallen and woke up to find that there was a fall, then spontaneous bleeding is more likely, if she knows that she has fallen, and then loses consciousness, the possibility of bleeding caused by trauma is greater

Neither can be ruled out based on her course of onset, although the history of trauma is clear, and I would still prefer to consider traumatic hemorrhage if the bleeding site is not in the most common site of typical hypertensive intracerebral hemorrhage, such as the basal ganglia. Of course, according to your description, the cerebral hemorrhage is mild, so whether it is trauma or spontaneous bleeding, ** is basically the same in principle, it is not necessary, and in fact it is unlikely to be too clear. Of course, if there is a car accident involving the other party, then the other party will not be able to get rid of the clean relationship.

Both cannot be ruled out.

But. What about the CT results Boss.

In general, the vast majority of hypertensive spontaneous bleeding is in the basal ganglia because the blood vessels of the middle cerebral artery **thalamic basal ganglia send up vertically upwards and rise to the lenticular artery, and the blood pressure fluctuates greatly, and it can break through the small aneurysm that has been hardened and hemorrhage.

However, a small number of spontaneous bleeding from high blood pressure is lobecular hemorrhage.

Traumatic hemorrhage, on the other hand, is mostly lobes of the brain or contralateral stress of the fall, arachnoid hemorrhage, but there are also basal hemorrhages such as hypertensive basal ganglia hemorrhages.

Generally, after cerebral hemorrhage, it causes different degrees of brain tissue destruction and brain dysfunction, although there are still different degrees of sequelae. This is related to the following factors: (l) the amount of bleeding, the amount of bleeding directly affects the severity of clinical symptoms.

Patients with hemispheric bleeding of more than 25 ml often have sequelae, and it is not difficult to understand that the more bleeding there is, the more severe the sequelae. (2) Bleeding location: Hemorrhage in different parts of the body, the degree of damage to brain function is different, such as bleeding in the basal ganglia area, often leaving a heavier limb dysfunction, and the small lesion of brainstem hemorrhage often causes death.

Cerebellar hemorrhage can cause numbness of the limbs, unsteadiness in walking, and other symptoms Bleeding in the non-functional area (i.e., the static area) or the bleeding site affects the motor and sensory pathways, so there is no neurological impairment. In some patients, the motor and sensory pathways have been affected by the edema and compression of the lesion, but in fact the pathways have not been damaged. Therefore, the location of bleeding is related to prognosis.

3) The first stage of the disease and care, which should first be confirmed to be related to the sequelae, but the severity of the sequelae mainly depends on the size, location and acute phase of the disease or not.

Cerebral hemorrhage, commonly known as cerebral hemorrhage and stroke, cerebrovascular accident. It refers to a large hemorrhage in the brain parenchyma, often due to factors such as fatigue and mental stress. Induced.

It is more common in elderly or middle-aged patients with hypertension and arteriosclerosis. Clinical types include pontine hemorrhage, endocystic hemorrhage, cerebellar and ventricular hemorrhage. Patients with intracerebral hemorrhage usually have sudden onset headaches and projectile vomiting.

The patient's mouth is drooling on one side, and his eyes and head are involuntarily tilted to one side. Inability to move one limb may occur. Patients with right-sided hemiplegia may have aphasia.

Other patients may have limb twitching and urinary incontinence. Most patients with intracerebral hemorrhage have varying degrees of impaired consciousness, drowsiness and even coma. [**] 1.

Vascular wall lesions (1) Hypertension causes arteriolar sclerosis and necrosis, which causes microaneurysms or dissection aneurysms to produce microaneurysms or dissection aneurysms in the tube wall, and then rupture and hemorrhage. It is the most important cause of intracerebral hemorrhage. (2) Cerebral artery amyloidosis:

Amyloid in the serum is deposited in the walls of blood vessels in the brain and in the tissues around them, and the walls of the blood vessels weaken and rupture on their own. The resulting intracerebral hemorrhage mostly occurs in the elderly, often accompanied by dementia, the hemorrhage is close to the surface of the brain, often breaks into the subarachnoid space, the lesions are multiple, easy to **, and the intracerebral hemorrhage caused by amyloidosis is less common than that of hypertensive intracerebral hemorrhage. 2.

Congenital anomalies of blood vessels: cerebral aneurysms, cerebral arteries or venous malformations. 3.

Hemodynamic changes. 4.Abnormal coagulation mechanism:

Hematologic diseases, overuse of anticoagulants. [Family Emergency Treatment] 1. The patient lies flat, keeps quiet, and avoids repeated head handling. Continued bleeding due to shock.

Twist your head to one side to prevent vomit from clogging your airways. 2. Lower blood pressure. In order to prevent rebleeding, blood pressure must be lowered, but not too low, nor too fast, can be taken orally compound antihypertensive tablets, Angong Niuhuang pills, etc.

For those who are irritable, in addition to giving mental comfort, they should also take diazepam appropriately. 3. For patients with high fever, physical cooling methods such as placing ice packs or cold water towel wet compresses on the head, neck, armpits, groin, etc., can be used to reduce cerebral metabolic rate and oxygen consumption, increase cerebral hypoxia tolerance, and reduce intracranial pressure.

1 Remain calm and immediately lay the patient on a flat bed. 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. Quickly loosen the patient's collar and belt, keep the room well ventilated, keep warm when it is cold, and cool down when it is hot. 3 If the patient is unconscious and snoring vigorously, indicating that the base of the tongue has fallen, the patient's tongue can be wrapped in a handkerchief or gauze and gently pulled outward.

4 A cold towel can be used to cover the patient's head, as blood vessels constrict when exposed to cold, which can reduce the amount of bleeding.

5. When the patient is incontinent, it should be treated on the spot, and the patient's body should not be moved at will to prevent the aggravation of cerebral hemorrhage.

6. 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.

Spontaneous intracerebral hemorrhage refers to intracerebral hemorrhage caused by spontaneous rupture of large and small cerebral arterioles, veins and capillaries caused by various causes in non-traumatic situations. Spontaneous intracerebral hemorrhage is a multifactorial disorder that is affected by a combination of environmental and genetic factors.

Brain experts from the 421 Hospital of the People's Liberation Army in Guangzhou said that the most common cause of spontaneous intracerebral hemorrhage is hypertension, and some of the more common ** are amyloidosis vascular disease, congenital hemangioma, arteriovenous malformations, coagulation disorders and mass of various causes.

High blood pressure and bleeding from blood vessels in the brain are extremely likely. There may be a ruptured blood vessel in the brain, and you need to go to the hospital for examination in time.

Look at the incidence has entered the recovery period.

First of all: if the primary disease, the cause of the disease coexists, such as hypertension, cerebral hemorrhage, cerebral hemangioma, etc., it must be timely ** to eliminate the re-bleeding. Because the patient is not old, and the incidence of cerebral hemorrhage is not high, it is recommended to check for the presence of cerebrovascular malformations to prevent future bleeding.

As follows: alcohol, sugar and salt water, a less greasy diet, slowing down the process of atherosclerosis, and bleeding to prevent smoking**.

Finally, having entered the recovery period, basic intravenous drug use can be stopped, and oral nutrition brain cell drugs can. The most important thing is to have physical **, try acupuncture, massage. Overall resuscitation is slower in the upper extremities than in the lower extremities, and recovery is slower in those with poor verbal rearity.

Proper exercise, multi-touch walking and grip to prevent muscle atrophy. Practical care is taken to protect the patient from descending fractures.

The long recovery process, and the sequelae, we usually see, how long it takes to recover, to what extent, the patient's own state, the severity of the disease, and the initial ** effect are closely related to the undesirable conclusiveness. But you say that the age of the patient, after all, is still lighter, and the same degree of elderly patients should be a good recovery.

Wishing you good health?

Is the wound pus considered an intracranial or scalp infection? Where is the bleeding and how is the procedure performed? How are you recovering after surgery? The ** way now? What is the state now? The medical history is too simple, hope to add.

Problem analysis: Hello, cerebral hemorrhage is a very serious disease, need to be hospitalized in time**, according to the amount of bleeding and the patient's physical state, choose surgery**or conservative**, the bleeding site is also an important factor in determining the patient's survival status.

Suggestions: It is recommended that you actively seek medical treatment, do relevant examinations, clarify the condition, formulate a reasonable plan according to the specific situation, improve the quality of life of patients, do a good job in patient care, and massage frequently to avoid bedsores.