If elderly people suffer from symptoms of cerebral hemorrhage and receive timely treatment, there is a high success rate of treatment. Generally, the decision of whether to undergo surgical treatment is based on the location of the bleeding. The success rate of cerebral hemorrhage drainage surgery has remained very high in recent years, and many people have not experienced major sequelae after treatment. Of course, the probability of successful surgery still depends on the patient's physical condition and the doctor's experience and skills. If there is a lot of bleeding, surgery is better than no surgery. If you don't have surgery, you may become a vegetable. If you have surgery, it may be better. There is no way to tell the percentage of the probability. Depending on the location of bleeding and the amount of bleeding, some people can recover well, while others cannot take care of themselves for the rest of their lives. Now we need to do a good job of nursing. The patient has worked hard, and so must the family. We need to give more massages to help the blood circulation of the side that is inconvenient to move. Pay attention to diet, control blood pressure, and exercise. This is a high-intensity systematic project. We must work together with the patient. As long as we exercise, there will be results. Also, pay attention to diet and exercise, don't exert too much force, and pay attention to preventing constipation. Intracerebral hemorrhage care precautions: 1. Patients need a quiet and comfortable environment, especially within 2 weeks of onset. Visits should be reduced as much as possible, and patients should maintain a calm and stable mood to avoid all kinds of negative emotional influences. 2. Absolute bed rest for 2 weeks. The head can be gently turned left and right, but excessive movement or elevation of the head should be avoided. The limbs can be slightly turned in bed once every 2 hours. Do not be too nervous. Urinating and defecating must be done in bed. Do not get out of bed to defecate on your own to prevent the accident of bleeding again. 3. Some patients will have symptoms of restlessness and agitation. For such patients, we will take protective measures such as restraint belts and bed rails to prevent patients from removing infusion tubes or gastric tubes by themselves, falling out of bed, and other unnecessary accidents. Some family members may not be able to bear it, and we understand the feelings of the family members. Once the condition is stable and no longer restless, we will immediately remove the restraint on the body, but the bed rails still need to be protected from time to time, especially for patients with air mattresses, to prevent falling out of bed. I hope everyone can cooperate. 4. During the course of the disease, headaches of varying degrees may occur, such as head pain, stabbing pain, severe pain, etc. This is the most common symptom. We will provide reasonable treatment. As the condition improves, the headache will gradually disappear, so you don't have to be overly nervous and learn to distract your attention. If you still feel severe pain and cannot tolerate it during the treatment, please inform us in time so that the doctor can take more effective treatment methods. 5. Elderly patients have aging cardiovascular and cerebrovascular systems, high fragility, and seasonal changes can easily induce diseases. Long-term bed rest can easily lead to lung infections, and it is difficult to cough up sputum. Use drugs to remove sputum, turn over, pat the back, loosen sputum and cough it out, and relieve lung infections. For those who are unable to cough up sputum, take sputum suction measures, and hope they can cooperate. 6. Long-term bed rest with skin under pressure for more than 2 hours is prone to bedsores. Turn the body over frequently. Massage the pressure area to keep the skin clean and dry. Place the limbs in functional positions to prevent deformities. 7. Diet: It should be nutritious, low-fat, light and soft food, such as eggs, soy products, etc. For those who have difficulty eating, the head can be tilted to one side, the feeding speed can be slow, and conversation can be avoided to prevent choking and suffocation. 8. Keep bowel movements smooth. Eat bananas, honey, drink plenty of water, turn over properly, massage the abdomen, and reduce constipation. If the patient has not had a bowel movement for several days or has difficulty defecating, use laxatives to induce defecation. Do not forcefully hold your breath to defecate to prevent another cerebral hemorrhage. 9. During the recovery period, raise the head of the bed by 10-15 degrees according to the doctor's instructions, and then gradually raise the head of the bed to a semi-recumbent position according to tolerance and adaptation, 30 minutes a day, 1-2 hours. 10. Hypertension is a common cause of this disease. Take antihypertensive drugs on time and in fixed amounts, and do not increase or decrease the dosage at will to prevent sudden rise or fall in blood pressure, which may aggravate the condition. 11. Regular outpatient follow-up after discharge, monitoring of blood pressure, blood lipids, etc., and appropriate physical activities such as walking, Tai Chi, etc. |
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