How does intracranial pressure high bleed again to do

summary

My husband is a laborer. He often says that he has a headache, which seems to be very serious these days. So he went to the hospital for examination. The doctor said that there was hemorrhage in the brain, which was caused by high intracranial pressure, and he had to be treated. At that time, it was very difficult for me to accept this. Today, let me learn with you how to deal with rebleeding due to high intracranial pressure.

How does intracranial pressure high bleed again to do

Treatment 1: generally should stay in bed for 2-4 weeks, keep quiet, avoid emotional excitement and high blood pressure. Closely observe vital signs such as body temperature, pulse, respiration and blood pressure, and pay attention to pupil changes and consciousness changes. Adjust the blood glucose. If the blood glucose is too high or too low, it should be corrected in time to maintain the blood glucose level between 6-9mmol / L.

Treatment 2: keep the respiratory tract unobstructed, clean up respiratory secretions or inhaled substances. Tracheal intubation or incision should be performed in time when necessary. Patients with conscious disturbance and gastrointestinal bleeding should be fasted for 24-48 hours, and gastric contents should be emptied if necessary.

Treatment 3: balance of water and electrolyte and nutrition. Daily fluid intake can be calculated according to urine volume + 500ml. In case of high fever, hyperhidrosis and vomiting, central venous pressure should be maintained at 5-12mmhg or pulmonary wedge pressure at 10-14mmhg. Pay attention to prevent the disorder of water and electrolyte, so as not to aggravate brain edema. Daily supplement of sodium, potassium, sugar and heat.

matters needing attention

The treatment of rebleeding due to high intracranial pressure depends on the location and amount of bleeding, as well as the cause of bleeding. If there is surgical indication, it needs active operation. It should be based on the patient's physical condition, whether there is cerebral hernia, the location and amount of bleeding, and it does not need craniotomy to decompress.