How long does it take to wake up after a brain hemorrhage surgery?

Cerebral hemorrhage is relatively common in life. For more serious cerebral hemorrhage, surgery is required in time. If the surgery is performed too late or not performed at all, it may cause a great threat to the patient's life safety. Of course, after the cerebral hemorrhage surgery, the patient will be in a coma for a period of time. As for how long the patient can wake up, this is closely related to the patient's physical constitution and the effect of the surgery.

1. Control cerebral edema and reduce intracranial pressure:

After cerebral hemorrhage, the space-occupying effect of the 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.

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 and is therefore difficult to stop 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.

Prevent water and electrolyte imbalance. Patients may lose a lot 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.