Cerebral hemorrhage caused by a headache how to deal with

Once the headache patients diagnosed as caused by cerebral hemorrhage, cerebral hemorrhage should be positive for the primary disease, brain hemorrhage in a timely and proper treatment of the rescue, is to reduce mortality in key brain hemorrhage. And should save on the basis of active prevention of complications, to ensure the smooth through the acute phase patients, specific treatment guidelines are as follows: (l) to maintain quiet, bed rest: general requirements with the nearest treatment, as far as possible to avoid unnecessary move. At the same time closely monitor patients with blood pressure, pulse, breathing and awareness of the changes, regular checks of vital signs and pupil changes. (2) maintain respiratory patent: release the collar, remove the denture, for lateral bit, clear oral secretions and sputum, if necessary, for the tracheotomy. At the same time given the mixed low-flow oxygen. (3) to maintain electrolyte balance: a clear, accessible to try swallowing into the liquid, the total daily volume of liquid were in 2000 milliliters to 2,500 milliliters around. Clear awareness of barriers and obstacles to swallow, given nasal feeding, intravenous nutritional supplements and maintain the balance of water and electricity. (4) in the treatment of cerebral edema, anti-low intracranial pressure: Clinical commonly used drugs are mannitol, sorbitol and Ceftiofur thiadiazole metres, such as hormones. Is generally 20% mannitol 125 ml to 250 ml rapid intravenous infusion, an average of six to eight hours to repeat once. Acute cerebral hemorrhage are generally required to dehydration treatment l ~ 2 weeks, in accordance with specific conditions and decision. Dehydration, but must pay attention to water and electrolyte balance, while also paying attention to heart and kidney function changes. (5) adjustment of blood pressure: high blood pressure, can be used reserpine 0.25 mg ~ l mg intramuscular injection, or 25 percent of magnesium sulfate 10 ml of deep muscle Note to maintain blood pressure in 2 O kPa to 22.7 kPa / 12 kPa to 14.7 kPa between. In principle buck should not be too fast and too low. (6) hemostatic applications: the current clinical application of brain hemorrhage after hemostatic whether there are still different views, but most of the view that the acute phase (first 2 to 3 days) to give hemostatic to prevent bleeding and treatment should be continued Shock of gastrointestinal bleeding. Common reptilase a unit intravenous injection, l-l Tongxinluo units of blood were injected 5 mg to 10 mg intramuscular injection; bleeding acid 0.2 g to 0.4 Galouzeau by 5% glucose solution in 500 ml, intravenous infusion; 6 -- Amino acid 4 grams to six grams dissolved in 5% glucose solution in 500 ml, intravenous drip. However, the amount should not be too much hemostatic, not too many types. (7) prevention and treatment of complications: cerebral hemorrhage after a sharp increase intracranial pressure, so easily lead to brain Burma, and died. In addition due to cerebral hemorrhage caused by gastrointestinal stress ulcer bleeding is also a major complication. Serious lung infection, urinary tract infections and bed sores are extremely common complication, should actively control. In addition, the cerebral hemorrhage to the brain CT scan after diagnosis with surgical indications, can be used surgical treatment. The purpose of surgery is to remove hematoma, reduce intracranial pressure and stop bleeding. The brain hemorrhage caused by a headache for special treatment not normally. With the absorption of hematoma, intracranial pressure necrosis lesions and the decline of tissue repair, headache symptoms also will reduce and gradually improved.