There is congestion in the brain, also known as cerebral congestion, which mainly refers to the symptoms of non-traumatic intracerebral parenchymal hemorrhage, which is relatively harmful to patients and often forms secondary intraventricular subarachnoid hemorrhage. Patients will experience vomiting and nausea, and in severe cases, impaired consciousness. This is also an important cause of hemiplegia and paralysis, also known as hemorrhagic stroke. Both the mortality and disability rates are quite high. Causes 1. It is more common in winter and autumn than in summer because the weather is cold, blood vessels constrict, and blood pressure rises. In summer, the weather turns hotter, blood vessels dilate, and blood pressure drops. However, heatstroke in summer and increased sweating can also trigger cerebral hemorrhage. 2. Emotional excitement can cause a sudden rise in blood pressure and cause cerebral hemorrhage. 3. Excessive fatigue and excessive exertion cause high blood pressure, which becomes the cause of sequelae of cerebral hemorrhage. 4. Overeating and eating too much greasy food can increase the lipids in the blood, accelerate blood circulation, and suddenly increase blood pressure, which can lead to cerebral hemorrhage. 5. It is also possible that the doctor may give the patient a medicine to flush out the blood clot in order to prevent cerebral thrombosis. However, for a very small number of people, the blood vessels will become thinner the more they are flushed, so it may cause cerebral congestion. If this is the case, please have surgery in time. treat The principles of treatment are quiet bed rest, dehydration to reduce intracranial pressure, adjustment of blood pressure, prevention and treatment of continued bleeding, and enhanced nursing care to prevent and treat complications in order to save lives, reduce mortality, disability rates, and reduce recurrences. 1. Generally, you should rest in bed for 2 to 4 weeks, keep quiet, and avoid emotional excitement and high blood pressure. Closely observe vital signs such as temperature, pulse, respiration and blood pressure, and pay attention to pupil changes and changes in consciousness. 2. Keep the airway open and clear respiratory secretions or inhaled materials. If necessary, perform tracheal intubation or endotracheal intubation in time; for those with impaired consciousness or gastrointestinal bleeding: fast for 24 to 48 hours and empty the stomach contents if necessary. 3. Water, electrolyte balance and nutrition. The daily fluid intake can be calculated as urine volume + 500 ml. If there is high fever, sweating, or vomiting, maintain the central venous pressure at 5-12 mmHg or the pulmonary wedge pressure at 10-14 mmHg. Be careful to prevent hyponatremia so as not to aggravate cerebral edema. Supplement sodium, potassium, carbohydrates and calories every day. 4. Adjust blood sugar. If blood sugar is too high or too low, it should be corrected in time to maintain the blood sugar level between 6 and 9 mmol/L. 5. For those with obvious headaches and excessive irritability, sedatives and analgesics may be given as appropriate; for those with constipation, laxatives may be used. 6. Reduce intracranial pressure. Brain edema after cerebral hemorrhage reaches its peak in about 48 hours, lasts for 3 to 5 days, and then gradually subsides, and may last for 2 to 3 weeks or longer. Cerebral edema can increase intracranial pressure and cause brain herniation, which is the main factor affecting the mortality and functional recovery of cerebral hemorrhage. Actively controlling cerebral edema and reducing intracranial pressure are important parts of the acute treatment of cerebral hemorrhage. 7. Generally speaking, when the patient's condition is serious and the intracranial pressure is too high and conservative medical treatment is ineffective, surgical treatment should be performed in a timely manner. 8. Rehabilitation treatment: After cerebral hemorrhage, as long as the patient's vital signs are stable and the condition is no longer progressing, rehabilitation treatment should be started as soon as possible. Early staged comprehensive rehabilitation treatment is beneficial to restoring patients' neurological function and improving their quality of life. |
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