The main symptom of cerebral hemorrhage

summary

Intracerebral hemorrhage refers to the hemorrhage caused by non traumatic rupture of blood vessels in cerebral parenchyma, accounting for 20% - 30% of all stroke, and the acute mortality rate is 30% - 40%. The main reason is related to cerebrovascular diseases, that is, hyperlipidemia, diabetes, hypertension, vascular aging, smoking and so on. Patients with cerebral hemorrhage often get sick suddenly due to emotional excitement and hard work, and the early mortality is very high. Most of the survivors have sequelae such as dyskinesia, cognitive impairment, dysphagia and so on. The main symptom of cerebral hemorrhage? Let's talk about it

The main symptom of cerebral hemorrhage

The most common dyskinesia was hemiplegia; The main manifestations of speech disorder are aphasia and vagueness. Anisometropia often occurs in patients with cerebral hernia due to increased intracranial pressure; There can also be hemianopia and eye movement disorders. Patients with intracerebral hemorrhage often gaze at the bleeding side of the brain (gaze paralysis) in the acute stage.

When patients with cerebral hemorrhage, often at the same time there will be coma, sleepiness and other performance. Moreover, if the patient has massive bleeding symptoms, the patient's consciousness will be impaired. Hemiplegia caused by hemorrhage of basal ganglia, thalamus and internal capsule is a common early symptom; A small number of patients had seizures, often focal; In severe cases, the patient quickly turned into unconsciousness or coma.

Headache is the first symptom of cerebral hemorrhage, often located in the bleeding side of the head; When intracranial pressure increases, the pain can spread to the whole head. Dizziness is often associated with headache, especially in cerebellum and brainstem hemorrhage. About half of the patients have vomiting, which may be related to increased intracranial pressure, vertigo attack and meningeal blood stimulation during intracerebral hemorrhage.

matters needing attention

1. Generally 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. 2. Keep the respiratory tract unobstructed and clean up the respiratory secretions or inhaled substances. Tracheal intubation or incision should be performed in time when necessary; Patients with conscious disturbance or gastrointestinal bleeding should fast for 24-48 hours and empty the contents of stomach if necessary.