Cerebral hemorrhage is a common phenomenon among the middle-aged and elderly population. Sometimes, if not treated in time, it may even threaten life. Therefore, correct treatment must be paid attention to. The patient must maintain absolute safety or bed rest, and pay attention to the patency of the airway and clear secretions or vomit in the mouth. 1. Treatment principles: reduce intracranial pressure and control cerebral edema to prevent brain herniation, and lower elevated blood pressure to prevent further bleeding. 2. Conventional treatment (I) General treatment: ① Keep quiet and stay in bed. First aid should be given locally. Long-distance transportation and excessive movement are not recommended to avoid aggravating bleeding. ② Keep the airway open and remove oral secretions or vomit at any time. 3. Provide appropriate oxygen, preferably intermittently; 4. Maintain nutritional and water and electrolyte balance. (ii) Control cerebral edema and reduce intracranial pressure; (III) Controlling high blood pressure and lowering elevated blood pressure are important measures to prevent further bleeding, but blood pressure should not be lowered too low to prevent insufficient blood supply. Generally, it is best to maintain it at 20.0 ̄21.3/12.0 ̄13.3kpa (150 ̄160/90 ̄100mmhg); (iv) Hemostatics and coagulants have no effect on cerebral hemorrhage, but they can still be used if there is concurrent gastrointestinal bleeding or coagulation disorders; (V) Prevention and treatment of complications. Critically ill patients should receive special basic care, with regular and gentle changes of body position, attention to keeping the skin dry and clean, and prevention of bedsores and lung infections. Paralyzed limbs should be kept in functional positions, massaged and passively exercised to prevent joint contractures. 3. The combination of traditional Chinese medicine, acupuncture and massage therapy has certain effects on treatment and rehabilitation. [Prevention] Hypertensive patients should control their blood pressure under the guidance of a physician and avoid factors that may induce high blood pressure, such as drastic changes, full meals, strenuous activities, straining during bowel movements, and sexual intercourse. If you experience severe posterior headache or neck pain, movement and sensory disorders, dizziness or syncope, nosebleeds, blurred vision, etc., these may be signs of cerebral hemorrhage and you should go to the hospital for examination in time. |
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