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Anonymous users2024-02-12Intracerebral hemorrhage methods include internal medicine conservative, surgical surgery and so on.
1.Internal medicine conservative**: This is suitable for patients with low bleeding and mild symptoms, pay attention to bed rest, avoid coughing and straining to defecate, so as not to continue bleeding; Depending on the specific situation, hemostatic drugs such as tranexamic acid, dehydrating agents such as mannitol, etc., and hyperbaric oxygen can also be administered**.
2.Surgery**: It is suitable for patients with heavy bleeding and severe conditions, and hematoma removal or skull flap decompression can be performed to reduce intracranial pressure so as not to compress important parts.
3.: After the condition is stabilized, it can be activated, such as limb function, swallowing function, etc.
Cerebral hemorrhage generally occurs more urgently, and after timely detection, it is recommended to go to a regular hospital for **, and strictly obey the doctor's arrangement.
The drug should be used under the guidance of a physician, do not use it on your own.
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Anonymous users2024-02-11If the amount of intracerebral hemorrhage is small, the intravenous can be conservative ** for circulation and hemostasis **, if it is a large amount of bleeding, in addition to conservative **, at the same time, transcranial puncture can be used to extract blood or craniotomy ** to remove the amount of bleeding in time, which is conducive to the recovery of the condition. After the disease is controlled, physiotherapy methods such as acupuncture and massage can be used**, and the functional training of the affected limb can be strengthened**.
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Anonymous users2024-02-10So how to know the situation of cerebral hemorrhage If you want to know the situation, you can see here: 1. Keep quiet: try to avoid moving patients with cerebral hemorrhage, in principle, local rescue, various examinations and operations should be light, so as not to aggravate bleeding.
Appropriate sedation is given, but morphine and demerol can depress the respiratory center and should be used.
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Anonymous users2024-02-09Intracerebral hemorrhage refers to primary non-traumatic baremoparchymal hemorrhage, also known as spontaneous intracerebral hemorrhage. It accounts for 20% to 30% of acute cerebrovascular diseases. About 80% of hemorrhages occur in the cerebral hemispheres, and about 20% of hemorrhages occur in the brainstem and cerebellum.
Intracerebral hemorrhage includes both internal medicine and surgery, and most patients are mainly internal. If the patient is critically ill or has a secondary cause and surgery is found, surgery should be indicated**.
The basic principles of intracerebral hemorrhage include:
1. Dehydration lowers intracranial pressure and reduces cerebral edema.
2. Adjust blood pressure.
3. Prevent further bleeding.
4. Protect the brain tissue around the hematoma.
5. Promote the recovery of nerve function.
6. Prevention and treatment of complications.
Patients with intracerebral hemorrhage tend to be unstable for several days after the onset of illness and should be routinely treated with continuous vital sign monitoring, neurologic evaluation, and continuous cardiopulmonary monitoring, including cuff blood pressure monitoring, electrocardiogram monitoring, and oxygen saturation monitoring.
Surgery** includes:
1. Craniotomy hematoma removal. The role of surgery is to remove the hematoma and minimize secondary injury, and studies have shown that surgery and decompression in patients with cerebellar hemorrhage can reduce mortality and improve functional outcomes. Patients with cerebellar hemorrhage due to deterioration of neurological function or brainstem compression and ventricular obstructive hydrocephalus are advised to perform hematoma removal surgery if possible.
2. Minimally invasive surgery. It has the advantages of reducing surgical trauma, shortening surgical time, reducing local anesthesia operation, and anesthesia risk. In recent years, there have been the application of precision, stereotype, orientation, and puncture equipment, thrombolytic drugs to promote hematoma liquefaction and drainage, and local drug application and local monitoring after the establishment of surgical channels.
3. Decompression of bone flap. When other options are not available, neurosurgeons may resort to hemihalogenectomy as a last resort.
Ventricular hemorrhage, which mainly includes ventricular drainage and thrombolysis.
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.
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