Symptoms of severe cerebral hemorrhage

summary

Cerebrovascular disease enters the high incidence season in winter. Compared with cancer, cerebrovascular events are more dangerous, and can even be said to be "killed with one stroke". Stroke is characterized by high incidence rate, high morbidity, high mortality and high disability rate. The number of patients who died of stroke in China is 1 million 700 thousand, which is the primary cause of death in China. Symptoms of severe cerebral hemorrhage? Let's talk about it

Symptoms of severe cerebral hemorrhage

Half of patients with intracerebral hemorrhage have different degrees of disturbance of consciousness, such as drowsiness, drowsiness and coma. In severe cases, consciousness can be blurred or coma within a few minutes after the onset of the disease: disturbance of consciousness is the most prominent symptom of intracerebral hemorrhage, and it is also the main indicator to judge the prognosis. A small amount of hemorrhage located in the cortex and lateral basal ganglia has less disturbance of consciousness, while a large amount of hemorrhage located in the medial basal ganglia, thalamus and brainstem is prone to disturbance of consciousness due to brain edema and affecting the reticular system. When patients are conscious, they often have * urinary incontinence or urinary retention.

Headache, nausea and vomiting are the first symptoms in 40% - 50% of patients with intracerebral hemorrhage. The initial manifestation was severe headache on the ipsilateral side of the lesion. When the intracranial pressure increased, it was full headache, accompanied by jet vomiting. It was more likely to occur when turning head and turning over. There was papilledema. In the late stage of the disease, there were disorders of water, electrolyte and acid-base balance, and vomiting was more frequent. In critically ill patients, hypothalamus was damaged, and vomit was brown.

Due to the damage of respiratory center and brain edema, the changes of respiratory function may occur, such as hyperventilation, tidal breathing and irregular breathing. Most patients with intracerebral hemorrhage have increased blood pressure and heart rate. When bradycardia occurs, we should pay attention to the serious increase of intracranial pressure. 90% of the patients had elevated blood pressure to a considerable extent.

matters needing attention

To maintain or stabilize the patient's life function, to prevent intracranial rebleeding and cerebral hernia (hemorrhagic cerebrovascular disease) or to further improve the blood supply in the ischemic area of the brain (ischemic cerebrovascular disease). Psychological nursing should be done to the conscious patients to reduce their anxiety and pessimism.