Wednesday, March 26, 2008

Cerebral hemorrhage caused by how to deal with headache

Once diagnosed as suffering from headache caused by cerebral hemorrhage, should be positive for the disease this cerebral hemorrhage, cerebral hemorrhage timely and correct emergency treatment, the mortality rate is to reduce the key to cerebral hemorrhage. In the rescue and should be on the basis of the prevention of complications in patients with ensuring the smooth through the acute stage, to deal specifically with the following principles: (L) to keep quiet, bed rest: general requirements with the nearest treatment, as far as possible to avoid unnecessary move. At the same time close observation of blood pressure, pulse, breathing and awareness of the changes in the pupil, as well as regular checks of vital signs change. (2) maintain airway: release collars, removed dentures, take a lateral position, removing oral secretions and sputum and, if necessary, for tracheostomy. At the same time provide low-flow oxygen mixed. (3) to maintain electrolyte balance: sober, swallowing accessibility to test into the liquid, the liquid per day in 2000 ml of people to about 2500 ml. Significant disturbance of consciousness and dysphagia, given nasal feeding, intravenous nutritional supplements and maintenance of the balance of water and electricity. (4) the treatment of cerebral edema, intracranial pressure-low: Clinical commonly used drug mannitol, sorbitol, and furosemide thiadiazole metres, such as hormones. Generally 20% mannitol 125 ml to 250 ml rapid infusion, an average of six to eight hours at a repeat. Acute cerebral hemorrhage generally dehydration treatment l ~ 2 weeks, in accordance with the specific conditions and decision. Dehydration, but must pay attention to water and electrolyte balance, but should also pay attention to cardiac and renal function changes. (5) The adjustment of blood pressure: high blood pressure, can be used reserpine ~ l mg 0.25 mg intramuscularly, or 25% magnesium sulfate 10 ml deep intramuscular injection, to maintain the blood pressure in kPa 2 O ~ 22.7 kPa / 12 kPa ~ 14.7 kPa between. In principle, should not be too fast buck, too low. (6) Application hemostatic: At present, the clinical application of brain hemorrhage after hemostatic whether there are still different views, but the majority view was that the acute phase (the first 2 to 3 days) may be granted hemostatic can prevent hemorrhage and treatment should be continued Shock of gastrointestinal bleeding. Common units Reptilase an intravenous injection, intramuscular injection l l units of blood Tongxinluo 5 mg to 10 mg intramuscular injection; bleeding acid 0.2 g ~ 0.4 Galouzeau by 5% glucose solution 500 ml of intravenous infusion; 6 -- aminocaproic acid 4 g ~ 6 grams dissolved in 5% glucose solution 500 ml of intravenous drip. But the amount should not be too much of hemostatic, and we should not be too many types. (7) prevention of complications: brain hemorrhage after a sharp rise of intracranial pressure, cerebral tempted to Burma, and died. In addition cerebral hemorrhage due to stress caused by gastrointestinal bleeding ulcer is also an important complication. Serious lung infection, urinary tract infections and bed sores is a very common complication, should actively combat. In addition, the cerebral hemorrhage positioning brain CT scan after diagnosis with surgical indications, surgical treatment can be used. The purpose of surgery is to remove hematoma, reducing intracranial pressure and bleeding. For headache caused by cerebral hemorrhage generally not treated specially. With the absorption hematoma, as well as the decline in intracranial pressure necrosis of tissue repair lesions, headache symptoms and also will be improved gradually reduce.

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