How should patients with cerebral hemorrhage be treated?
Patients with clinical symptoms of stroke and suspected cerebral hemorrhage should try to reduce unnecessary moving, avoid bumps on the way to the hospital as much as possible, and reduce the chance of aggravating or repeated bleeding. Once confirmed, active treatment should be carried out.
First of all, patients should be absolutely bedridden for three weeks. The so-called absolute bedridden, including urination and urination, should be carried out in bed. Patients with agitation should be given sedatives to force them to rest. Appropriately control the blood pressure. If the patient’s blood pressure is too high but the consciousness is still clear, give compound antihypertensive tablets to reduce blood pressure; Those with blurred consciousness were given reserpine injection 1mg intramuscularly to maintain blood pressure at a level slightly higher than that before the onset, mostly at 150-180/90-100mmhg (20-24/12-14kpa).
It is not advisable to use strong antihypertensive agents, so that the blood pressure will drop too fast and too much. Some studies believe that the blood pressure of patients with cerebral hemorrhage drops too fast, which is very detrimental to the correction of the sequelae of cerebral hemorrhage.
In addition, under the guidance of professional doctors, hypertonic glucose, mannitol and other dehydrating agents should be used to reduce intracranial pressure and eliminate brain edema. Rational use of hormone hemostatic agents, maintain the balance of nutrition, water and salt, so that patients can quickly get through the acute phase.
How do patients with cerebral hemorrhage stop bleeding?
The vast majority of patients with cerebral hemorrhage are caused by rupture and hemorrhage such as hypertension, arteriosclerosis, cerebral aneurysms, cerebral vascular malformations, and generally have no coagulation dysfunction. Therefore, it is meaningless to apply western medicine hemostatic drugs. Previous conventional hemostatic agents such as vitamin K, anluoxue, hemostatic enzymes and other drugs have no definite curative effect. In recent years, it has been advocated to use a class of drugs called antifibrinolytic drugs, such as 6-aminocaproic acid and aminotoluene acid, which have a certain effect on controlling bleeding.
Can patients with cerebral hemorrhage use hormone therapy?
Hormone application in patients with cerebral hemorrhage can reduce brain edema and intracranial pressure, so it is routinely used in patients with conscious disorders. Dexamethasone 10-20mg added with 5% glucose 500ml was given intravenously, once a day. After 5-7 days of continuous use, it was changed to oral tablets and gradually reduced. If the patient suddenly vomits caf é – au lait or has tarry stool, it indicates that the patient has developed stress ulcer (also known as brain stomach syndrome), the use of hormones should be stopped quickly to prevent gastrointestinal bleeding.
