What should be done if there is a large amount of bleeding in a cerebral hemorrhage?

Sep 29, 2024 Source: Cainiu Health
Disease description:

My grandmother has been diagnosed with cerebral hemorrhage. She is currently unable to move her arms and legs or speak. Our entire family is very worried. What should we do if the cerebral hemorrhage involves a large amount of bleeding?

Doctor's answer (1)
Dr. Lv Zhiqin

When there is a large amount of cerebral hemorrhage, the following are some of the main management methods:

1. Emergency hemostasis: Prompt hemostatic treatment should be administered to prevent further worsening of the bleeding.

2. Surgical treatment: If the amount of bleeding is significant, surgical intervention may be required, such as craniotomy or interventional surgery, to remove intracranial hematomas and reduce intracranial pressure. The choice of surgical approach should be determined based on the patient's specific condition and the doctor's recommendations.

3. Medication therapy: Medications may be needed before and after surgery to control blood pressure, reduce intracranial pressure, and prevent complications. Commonly used medications include antihypertensive drugs, diuretics, and antibiotics.

4. Monitoring of vital signs: Close monitoring of the patient's vital signs, including blood pressure, heart rate, and respiration, is necessary to promptly detect and manage any potential abnormalities.

5. Rehabilitation therapy: Once the patient's condition has stabilized, rehabilitation therapy should be initiated as early as possible, including physical therapy and speech rehabilitation, to improve the patient's physical function and quality of life.

In addition, close observation of the patient's vital signs is essential to ensure the safety and effectiveness of the treatment process.