Post-cerebral hemorrhage edema

In fact, many people do not understand brain injury. They simply know that the brain is injured. In fact, if brain injury causes bleeding, some tissue edema will immediately appear around the brain, and these edema will gradually expand. There is a transition period that lasts for several days, which is the edema period after cerebral hemorrhage. So today I will give you a brief introduction on what the edema period after cerebral hemorrhage is.

During the peak period of cerebral edema, patients may experience worsening mental status and aggravated brain damage, and should be closely observed and treated during this period.

The lesions of cerebral hemorrhage are mostly round or oval, uniformly high-density areas. Patients with cerebral hemorrhage should receive rehabilitation treatment as soon as their condition stabilizes. So, will there be edema after cerebral hemorrhage?

Edema reaches its peak 48 hours after cerebral hemorrhage and gradually subsides after lasting for 3 to 5 days or longer. Cerebral edema can increase intracranial pressure and cause brain herniation, and is the main cause of death from cerebral hemorrhage. Therefore, reducing intracranial pressure is an important part of the acute treatment of cerebral hemorrhage. Commonly used methods include 20% mannitol, 50% glycerol saline and diuretics such as furosemide; or 10% plasma albumin. Mannitol has a rapid dehydrating effect, but renal function must be monitored to prevent renal damage.

CT scan of cerebral hemorrhage can clearly show the bleeding site, hematoma size, bleeding extension direction and range of cerebral edema, providing an important basis for the selection of treatment methods. A CT scan only takes a few minutes to complete, which is a major breakthrough in the diagnosis of hypertensive cerebral hemorrhage. The newly used magnetic resonance imaging can also help make accurate diagnosis of cerebral hemorrhage in a short time.

Surgery is required for cerebral hemorrhage when the hematoma volume in the cerebellar hemisphere is ≥10 ml or the vermis is >6 ml, the hematoma ruptures into the fourth ventricle or the cerebral cistern is compressed and disappears, and symptoms of brainstem compression or signs of acute obstructive hydrocephalus appear; patients with cerebral hemorrhage have increased intracranial pressure and signs of brainstem compression, such as slow pulse, increased blood pressure, slowed respiratory rhythm, decreased level of consciousness, etc.

Finally, I would like to remind you that cerebral hemorrhage will seriously affect the patient's body and have a great impact on the patient's health, so you must go to a regular hospital for active treatment!