Can a cerebral hemorrhage be restored to normal?

The incidence of cerebral hemorrhage has been relatively high in recent years, and the incidence of cerebral hemorrhage has shown a trend of becoming younger. Some middle-aged people and even young people have suffered from cerebral hemorrhage. For patients with cerebral hemorrhage, timely rescue and strengthened post-illness care are necessary. Whether patients with cerebral hemorrhage can recover to normal depends on the patient's physical condition and the effect of treatment. For middle-aged and young patients, the recovery effect is good.

Treatment and nursing of cerebral hemorrhage

1. Control cerebral edema and reduce intracranial pressure: After cerebral hemorrhage, the space-occupying effect of hematoma suddenly appears in the brain parenchyma, which can compress the ventricles, shift the midline structure, and cause a sharp increase in intracranial pressure, which can cause brain herniation and endanger life. Therefore, control cerebral edema, reduce intracranial pressure, and immediately use dehydration drugs as prescribed by the doctor, 20% mannitol 250 ml intravenous drip (completed within 30 minutes), 2 to 3 times a day. When using dehydrating agents, we should pay attention to whether the purpose of dehydration has been achieved, and prevent adverse reactions caused by excessive dehydration, such as insufficient blood volume, hypotension, electrolyte imbalance and renal function damage. Collected and compiled by Medical Education Network: Pay attention to observe if the urine volume is less than 200ml within 4 hours after infusion, inform the doctor to use it with caution or stop using it, and assist in checking the kidney condition in time.

2. Adjust blood pressure: Patients with cerebral hemorrhage are often accompanied by hypertension, and appropriate adjustment of blood pressure is conducive to platelet aggregation and hemostasis at the bleeding site. However, it should be noted that blood pressure should not drop too quickly. Otherwise, if blood pressure drops too quickly, the doctor should be notified immediately. If not treated in time, the already damaged and limited blood vessel regulation function will not be able to be exerted; the blood supply to the lesion area will be further reduced, and the condition will worsen. Generally, the systolic blood pressure is maintained at 20-21.2 kPa and the diastolic blood pressure is maintained at around 13.0 kPa. 3. Stop bleeding and prevent rebleeding: It is generally believed that hypertensive cerebral hemorrhage is not caused by changes in the coagulation mechanism, so it is difficult to stop it with drugs. However, if it is accompanied by gastrointestinal bleeding or coagulation disorders, the use of hemostatic drugs may play a certain role. Therefore, 6-aminocaproic acid (EACA), antifibrinolytic aromatic acid (Pamba), etc. are still commonly used for patients with cerebral hemorrhage in clinical practice. When gastrointestinal bleeding occurs, the patient can be fed through a nasogastric tube or orally take Yunnan Baiyao, Panax notoginseng powder, ice milk, ice salt water, etc. Use Losec, Reptilase, Thrombin, etc. strictly according to the doctor's instructions. Closely observe the hemostatic effect after medication and regularly check stool for occult blood to understand the dynamics of the disease. 4. Maintain nutrition: Prevent water and electrolyte imbalance. Patients may lose a large amount of fluid due to vomiting, coma, inability to eat, or use of dehydrating agents, which can easily cause water and electrolyte imbalance. Feed by nasogastric feeding according to the doctor's instructions. Gastric juice must be extracted each time during nasogastric feeding. Daily fluid supplementation is 1500-2000ml, sodium supplementation is 5g, potassium supplementation is 3g. For every 1℃ increase in body temperature, 5ml of fluid can be added for every kilogram of body weight.

The hazards of sequelae of cerebral hemorrhage:

1. Direct harm to the patient's health, including severe limb disabilities, such as hemiplegia, hemiplegia, speech disorders, such as aphasia or inability to understand what others say, and more seriously, intellectual disorders and vascular dementia. 2. It is a burden to the patients' families. Patients with sequelae of cerebral hemorrhage need care, and one-third of severe patients need care from others, which creates a great burden on their families. 3. The economic burden on the whole society is very serious. Our country's direct economic expenditure on the sequelae of cerebral hemorrhage is 30 billion yuan each year, which is a huge medical expenditure. Moreover, this medical expenditure has increased rapidly in the past decade. New cerebrovascular technologies have also developed rapidly, so medical expenditures continue to increase.

<<: How long can a person with cerebral ischemia live?

>>: What can a cold blood test reveal?