Edema may occur in many parts of the body, including our brain. Patients with cerebral edema have primary diseases. If it cannot be diagnosed in time within a short period of time, the genetic cause should be considered. Localized cerebral edema. The causes of cerebral edema are very wide, and relevant tests and treatments should be done. Common treatments include Western medicine, surgery and other therapies. 【Western medicine treatment】 The treatment principle of cerebral edema is to eliminate the cause and adopt comprehensive cerebral edema treatment; the two aspects complement each other. (1) Surgical treatment Eliminating the cause of the disease Timely elimination of the cause of the disease is the fundamental treatment of cerebral edema. Cerebral contusion, infiltration, necrosis, liquefaction of brain tissue and subarachnoid hemorrhage, removal of intracranial hematoma, removal of bone fragments pierced into the brain and correction of depressed fractures, relief of stimulation and pressure on brain tissue, brain tumor resection, removal of non-traumatic intracranial hematoma, etc. After the cause is eliminated, brain edema will gradually subside. (2) Other therapies 1) An important measure to improve cerebral hypoxia and prevent cerebral edema is to first keep the airway open. If hypoxemia and hypercapnia occur, assisted breathing and controlled ventilation are required. It is common in clinical practice to see patients with craniocerebral trauma in a persistent coma. If a tracheotomy is performed immediately and sufficient oxygen is given to relieve brain hypoxia, their condition will usually improve. If hypoxia is not relieved in time, the treatment will be difficult to be effective. 2) Treatment of cerebral edema and intracranial hypertension For dehydration treatment, dehydration drugs are selected according to the condition of the disease. Currently, 20% mannitol and furosemide are commonly used. It can be supplemented with concentrated serum albumin, which has a good dehydration and blood pressure lowering effect. Obstructive hydrocephalus leads to hydrocephalic cerebral edema. Continuous drainage of the lateral ventricle is performed to reduce the amount of cerebrospinal fluid, thereby achieving the purpose of decompression and elimination of cerebral edema. |
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