How is acute cerebral hemorrhage treated?
Disease description:
A friend suddenly fainted and was sent to the hospital, where he was diagnosed with acute cerebral hemorrhage. He hadn't had any previous illnesses, so I'd like to ask, what is the best treatment for acute cerebral hemorrhage?
Doctor's answer (1)
Dr. Lv Zhiqin
Acute cerebral hemorrhage, also known as intracerebral hemorrhage, is a severe neurological disorder. The main treatment measures are as follows:
1. General treatment: Keep the patient calm and avoid emotional excitement and elevated blood pressure to reduce the risk of rebleeding. At the same time, maintain normal blood oxygen saturation, body temperature, and control blood pressure and blood glucose within appropriate ranges.
2. Medication therapy: Depending on the patient's condition, hemostatic agents, neuroprotective agents, and traditional Chinese medicine preparations may be used. For patients with significant cerebral edema, osmotic diuretics such as mannitol or glycerol fructose can be administered to reduce intracranial pressure. Antihypertensive drugs are used to control excessively high blood pressure, thereby alleviating cerebral edema and bleeding.
3. Surgical treatment: Patients with large hematomas or severe symptoms may require surgical interventions such as craniotomy for hematoma evacuation, minimally invasive surgery, or decompressive craniectomy to remove the hematoma, relieve pressure on surrounding brain tissue, and prevent the formation of brain herniation.
4. Rehabilitation therapy: Once the patient's condition is stable, rehabilitation therapy should begin as early as possible, including limb function exercises, speech therapy, and psychological rehabilitation, to promote functional recovery.
