Is the survival rate high after brain hemorrhage surgery? How to care?

The health issues of middle-aged and elderly people are of great concern, because the number of middle-aged and elderly people has increased significantly, but their health has not been effectively protected. Among them, the incidence of cardiovascular and cerebrovascular diseases is very high. Diseases represented by cerebral hemorrhage threaten the lives of most middle-aged and elderly people. Surgery is the key method to solve the problem. Let’s take a look at whether the survival rate after cerebral hemorrhage surgery is high? How to care?

The mortality rate for people under 60 years old should be less than 30%, and for people over 70 years old it should be 80%, because craniotomy always has risks.

Whether to perform surgery depends on the amount of bleeding. If the amount of bleeding exceeds 40 ml, or there is midline shift, brain stem compression, and brain herniation, surgical treatment is required. If the amount of bleeding is not large, surgical treatment is not required, and the bleeding can be gradually absorbed through medication.

Prevention of complications

1. The patient must remain in bed for at least two weeks. The patient should lie flat or on his side with his head tilted to the normal side. The head of the bed can be raised appropriately. After 2 weeks, the patient can sit or stand depending on his physical condition and the instructions of the attending physician. Nurses should pay attention to prevent patients from falling out of bed.

2. Keep the respiratory tract open, suction sputum and pat the back in time to prevent lung infection.

Every 2 hours, turn the patient over and pat his back (hollow palms, from bottom to top, from inside to outside, with strong force) for more than 5 minutes each time to prevent bedsores and lung infections. When turning over, be careful not to knock off the patient's nasogastric tube, urinary catheter, or drainage tube.

3. Give the patient more water to clean the urinary tract. Wash the perineum with warm water every day to prevent infection. Patients with urinary catheters should disinfect the catheters daily. If you find that your urine is abnormally turbid, report it to your attending physician promptly to prevent urinary tract infection.

4. Pay attention to the dietary structure. The patient's diet should be low in fat and salt, high in protein, and easy to digest. They can eat more fruits and vegetables such as celery, fungus, bananas, and pineapples. For comatose patients, feeding through a nasogastric tube can be done by breaking the food into liquid and feeding it. After nasogastric feeding, warm water is injected to clean the nasogastric tube. If you are constipated, in order to prevent further bleeding caused by straining during bowel movements, you should follow the doctor's advice and take laxatives and enema to help with bowel movements.