Can patients with cerebral congestion be cured?

Cerebral congestion is becoming more and more common, and is occurring at younger and younger ages. Many people are aware of this disease. The chance of death from cerebral congestion in the early stages is very high, and cerebral congestion also has many sequelae, so once patients are diagnosed with cerebral congestion, they need timely treatment. So, everyone has a question, can cerebral congestion be cured? Don’t worry, I will tell you about it now.

Experts introduce the treatment principles of hypertensive cerebral hemorrhage in the acute stage. The treatment principles of hypertensive cerebral hemorrhage are: prevent continued bleeding; actively fight cerebral edema; adjust blood pressure; prevent and treat complications. The specific treatment methods are as follows: 1. Adjusting blood pressure in the treatment of hypertensive cerebral hemorrhage: Generally, antihypertensive drugs should not be used, especially strong antihypertensive agents. However, if blood pressure is higher than usual, with systolic pressure above 200 mmHg (26.6 kpa), mild antihypertensive drugs such as furosemide may be used appropriately. 10ml of 5% magnesium sulfate, intramuscular injection. If the patient is conscious or receiving nasogastric feeding, 1-2 tablets of compound antihypertensive tablets can be taken orally, 2-3 times/d. The blood pressure should be maintained at around 20.0-21.3/12.0-13.3 kPa.

2. Reducing intracranial pressure in hypertensive cerebral hemorrhage: The main cause of death in patients in the acute stage of hypertensive cerebral hemorrhage is brain herniation caused by cerebral edema. Therefore, timely application of dehydration drugs and control of cerebral edema are the key to rescuing patients. Commonly used dehydration drugs include 20% mannitol, 125-250 ml each time, intravenous injection or intravenous drip, 2-4 times a day. For patients with low blood pressure, continuing to use dehydration drugs will cause a further decrease in circulating fluid, making blood pressure more difficult to maintain, aggravating cerebral hypoxia and further worsening cerebral edema.

3. Surgical treatment for hypertensive cerebral hemorrhage: Different surgical methods or combinations of surgical procedures can be selected according to the actual situation of each patient, such as the site of bleeding, size and shape of hematoma, space-occupying effect, presence or absence of buffer space in the skull, degree of brain edema after hemorrhage and the patient's general condition: microsurgery, keyhole surgery under a microscope, craniotomy decompression surgery, etc.

As long as the hematoma is removed as much as possible during the operation, internal and external decompression and continuous drainage are performed, and important neurological functional areas are avoided as much as possible to reduce damage to the cerebral cortex, good treatment results will be achieved.

In fact, whether cerebral congestion can be cured depends on the location and amount of bleeding. If the treatment is timely and the bleeding site is not in the brain, the condition will improve through timely and effective treatment. However, most patients will inevitably suffer from sequelae. It is important to note that patients with cerebral congestion should not be moved long distances when seeking medical treatment.