Treatment of intracerebral hemorrhage

As we all know, the brain is very important to our human body. We usually need to rely on our brain to think and control the body's various languages ​​and activities, so protecting the brain is something we must always keep in mind. However, with the progress and development of society, things that threaten the health of the human brain are increasing day by day, and there are more and more brain patients in hospitals. Common brain diseases include cerebral palsy, brain injury, cerebral hemorrhage, etc. Now let’s talk specifically about the issue of cerebral hemorrhage.

In fact, the severity of cerebral hemorrhage varies from person to person, and cerebral hemorrhage is also seasonal. Generally speaking, the incidence of cerebral hemorrhage in winter is higher than in other seasons. So how should you treat cerebral hemorrhage? Let us introduce it in detail below.

Cerebral hemorrhage refers to bleeding caused by non-traumatic rupture of blood vessels in the brain parenchyma, accounting for about 20% to 30% of all strokes. The cause of its occurrence is mainly related to cerebrovascular lesions, that is, it is closely related to hyperlipidemia, diabetes, hypertension, vascular aging, smoking, etc. Patients with cerebral hemorrhage often suffer sudden onset of symptoms due to emotional excitement or strenuous effort. The early mortality rate is very high, with about half of the patients dying within a few days of onset. Most of the survivors have sequelae such as movement disorders, cognitive disorders, speech and swallowing disorders to varying degrees.

The treatment principles for cerebral hemorrhage are generally quiet bed rest, dehydration to reduce intracranial pressure, blood pressure adjustment, 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. Generally, there are several methods:

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, clear respiratory secretions or inhale. 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.

Not only that, if we accidentally suffer from cerebral hemorrhage, while cooperating with the doctor's treatment, we must also strictly control our daily diet and life. When eating normally, you should eat foods with relatively low fat content, preferably fresh vegetables and fruits. Foods such as cream and fatty meat should be avoided. At the same time, you should also pay attention to eating more foods high in protein, and you can eat more soy products. Only by combining medical treatment and diet can we cure cerebral hemorrhage as soon as possible and restore our health.