Who can tell me something about cerebral hemorrhage?

Cerebral hemorrhage, also known as cerebral hemorrhage, is the most serious acute cerebrovascular disease and one of the fatal diseases of middle-aged and elderly people.

Middle-aged and elderly people are the main population of cerebral hemorrhage, and 40-70 years old is the main onset age. The causes of cerebral hemorrhage are mainly related to the pathological changes and sclerosis of cerebral vessels. Vascular diseases are closely related to hyperlipidemia, diabetes, hypertension, vascular aging and smoking. Cerebral hemorrhage usually refers to spontaneous primary cerebral hemorrhage. Patients often have sudden onset due to emotional excitement and excessive exertion, showing aphasia and hemiplegia, and in severe cases, they are unconscious. More than half of the patients are accompanied by headache and vomiting.

The main causes of cerebral hemorrhage are long-term hypertension and arteriosclerosis. Most patients' blood pressure increased obviously at onset, which led to blood vessel rupture and cerebral hemorrhage.

Cerebral hemorrhage refers to non-traumatic brain parenchymal hemorrhage. When blood pressure rises sharply, cerebral artery disease is accompanied by hypertension rupture, which is called hypertensive cerebral hemorrhage.

therapeutic method

First, the principle of treatment, reduce intracranial pressure, control brain edema, prevent the formation of cerebral hernia, reduce elevated blood pressure and prevent further bleeding.

Second, conventional treatment (1) general treatment; (1) Keep quiet, stay in bed absolutely, and rescue on the spot. It is not suitable for long-distance transportation and excessive movement, so as not to aggravate bleeding; ② Keep the respiratory tract unobstructed and suck away oral secretions or vomit at any time.

Third, control brain edema and reduce intracranial pressure;

Fourth, controlling high blood pressure and lowering the elevated blood pressure are important measures to prevent further bleeding, but it is not advisable to lower the blood pressure too low to prevent insufficient blood supply. Generally maintained at 20.0 ~ 21.312.0 ~13.3 kpa (150 ~160/90 ~100 mmhg).

5. Hemostatic drugs and coagulant have no effect on cerebral hemorrhage, but they can still be used if there is gastrointestinal bleeding or coagulation disorder;

Six, prevention and treatment of complications, critically ill patients should strengthen the basic nursing, regularly gently change the position, pay attention to the dryness and cleanliness of the skin, prevent bedsore and lung infection, paralyzed limbs should pay attention to keep in the functional position, massage and passive exercise to prevent joint contracture;

Surgical treatment:

The combination of traditional Chinese medicine, acupuncture and massage therapy has certain effect on treatment and rehabilitation.

preventive measure

Patients with hypertension should control their blood pressure under the guidance of a doctor, so as to avoid drastic changes, full meals, strenuous activities, forced defecation, sexual intercourse and other factors that may induce blood pressure to rise. If you have severe headache or neck pain, dyskinesia, dizziness or syncope, nosebleeds, blurred vision, etc. It may be a precursor to cerebral hemorrhage, so you should go to the hospital for examination in time.

The dosage and usage of the above drugs should be in accordance with the doctor's advice.

When blood pressure rises sharply, cerebral artery disease is accompanied by hypertension rupture, which is called hypertensive cerebral hemorrhage.

Beware of infant cerebral hemorrhage.

The most important period is when the baby is conceived in the mother. First of all, mothers should not be picky about food during pregnancy, and eat more things rich in vitamin K, such as cauliflower, spinach, tomatoes, cabbage, carrots, soybeans, animal livers, fish and eggs. Do not abuse antibiotics and treat intestinal diseases in time. Secondly, breast-fed babies should add complementary food in time after 4 months. When you find that your baby has intestinal diseases, you should go to the hospital for treatment in time.

What about sudden cerebral hemorrhage?

Cerebral hemorrhage is a frequently-occurring disease in middle-aged and elderly people. It is bleeding caused by the sudden increase of blood pressure, which leads to the rupture of microvessels in the brain. At the bleeding focus, blood can directly compress the brain tissue, causing brain edema around it, and then secondary brain displacement and brain hernia.

The typical manifestations of cerebral hemorrhage are: sudden numbness, weakness or paralysis of one limb, when the patient often falls unguarded, or the items in his hand suddenly fall to the ground; At the same time, patients will also have crooked mouth, drooling, vague language or aphasia, and some will also have headache, vomiting, blurred vision, disturbance of consciousness, incontinence and so on. After the patient's cerebral hemorrhage, the family members should carry out emergency rescue.

1. Stay calm and lie flat immediately. Don't rush to send the patient to the hospital, lest it shake the road. You can tilt your head to one side to prevent sputum and vomit from being sucked into the trachea.

2. Quickly loosen the patient's collar and belt, keep indoor air circulation, keep warm when it is cold, and pay attention to cooling when it is hot.

3. If the patient is unconscious and snores strongly, it means that the base of his tongue has dropped. You can wrap the patient's tongue with a handkerchief or gauze and gently pull it out.

4. The patient's head can be covered with a cold towel, because the blood vessels contract when they are cold, which can reduce the amount of bleeding.

5. Patients with incontinence should be treated on the spot, and the patient's body should not be moved at will to prevent the cerebral hemorrhage from aggravating.

6. On the way to the hospital, the patient's condition is stable, and the vehicle runs as smoothly as possible to reduce bumps and vibrations; At the same time, raise the patient's head slightly, keep an angle of 20 degrees with the ground, and pay attention to the changes of the condition at any time.

Cerebral infarction and cerebral hemorrhage

* First of all, you need to stay in bed, have an optimistic and cheerful attitude, have full confidence in the recovery of the disease, cooperate closely with us, actively treat and recover as soon as possible.

* Some patients will have one or two hands and feet unable to move, weak, or temporarily unable to speak, which may have a certain impact on later life. You should have a correct understanding of your illness, as long as you control the medicine as soon as possible, and carry out various functional exercises and language rehabilitation training (such as counting, looking at pictures and talking, etc.). ), and perseverance, has a positive effect on the rehabilitation of paralyzed hands and feet and language function.

* Diet should be rich in protein, vitamins and fats, such as fish, bean products, grains and soybeans. Avoid spicy and greasy food (such as strong tea, coffee, fried food), eat more fruits and vegetables, and keep the stool unobstructed. If you have facial paralysis, you can input semi-liquid materials such as milk paste and porridge. When eating, you need to deliver food to the healthy side (where there is no facial paralysis), and the delivery speed should be slow to avoid choking and suffocation. If the condition is critical and swallowing is difficult, the doctor will insert a gastric tube and give nasal feeding liquid to ensure nutritional supply.

* Patients are not sensitive to hot and cold stimuli due to illness, so remind their families not to use heating devices such as hot water bottles to help keep warm in cold weather. Otherwise, it will cause serious consequences such as burns.

* Physical activity is not suitable for patients with urinary incontinence. Pay attention to protecting the skin, clean the perianal perineal skin after defecation, keep it dry, and apply talcum powder appropriately. Every two hours, the nurse will turn over and pat the patient's back to avoid long-term compression and necrosis of the paralyzed limb skin and bedsore.

* Within 1~2 weeks after onset, when the condition is basically stable, functional exercise of the affected limb can be carried out as soon as possible, three times a day, ranging from 10~20 times each time. Massage and passive activities can prevent joint adhesion and muscle atrophy. You can increase the number of exercises in the future to help yourself recover as soon as possible.

Practice method

* At the beginning, take a deep breath and do simple active exercise, focusing on the extension of hemiplegic hands and feet: shoulder abduction, upper limb extension and lower limb bending.

* Use pillows and wooden frames to maintain the functional position of limbs during exercise, so as to prevent the upper limbs from buckling and foot drop.

* You can gradually increase the practice of sitting, standing and walking, walk with a correct gait and go up and down the stairs. Pay attention to strengthen protection to prevent accidents such as falling.

* After the initial recovery of upper limb activity function, focus on climbing the wall, grasping things, holding walnuts and other exercises to strengthen self-care ability: eating, grooming, dressing and undressing.

* The situation has further improved, and labor therapy such as writing, knitting and gardening can be carried out.

How to communicate with aphasia patients?

1). Use short and clear sentences when you speak, and speak a little slower than usual.

2) Encourage conversation, don't force it, ask simple and direct questions, and let patients answer "yes" or "no".

3) For people with serious communication problems, you can express your opinions by gestures and facial expressions, and you can also encourage patients to communicate by gestures.

4) Every time you talk to the patient, you should give him enough time to think and organize what he said.

5) Talk to him with familiar names and terms.

health education

1. Patients need a quiet and comfortable environment, especially within 2 weeks of onset. They should minimize visits, keep calm and stable emotions, and avoid all kinds of negative emotional influences.

2. Stay in bed for 2 weeks absolutely, and turn your head gently from side to side. Avoid excessive movement or raising your head. Turn your limbs slightly in bed every 2 hours. Don't be too nervous. Urinating must be carried out in bed, and you can't get out of bed to relieve yourself, so as to avoid another bleeding accident.

3. Some patients will have symptoms of restlessness. We will take protective measures for such patients, such as restraining straps and bed guards, to prevent patients from pulling out infusion tubes or stomach tubes and falling off the bed. Maybe some family members can't bear it, and we understand their feelings. Once the patient's condition is stable and he is no longer agitated, we will immediately remove the restraints on the body, but the bed stall needs constant intensive care, especially for patients with air cushion beds, to prevent them from falling off the bed. I hope everyone will cooperate.

4. There will be different degrees of headache in the course of the disease, such as head swelling pain, needle prick pain and severe pain. This is the most common symptom. We will give reasonable treatment. With the improvement of the disease, the headache will gradually disappear, so you don't have to be overly nervous. You should learn to divert your attention. If you still feel unbearable pain during the treatment, please let us know in time so that the doctor can take more effective treatment measures.

5. Elderly patients have a high degree of cardiovascular and cerebrovascular aging and brittleness, and seasonal changes are easy to induce diseases. Long-term bed rest is easy to cause lung infection, and sputum is not easy to cough up. Drugs can eliminate phlegm, strengthen turning over and patting the back, make phlegm disperse and cough up, and reduce lung infection. If you can't expectorate, you should take sputum suction measures, hoping to cooperate.

6. Long-term bed rest, skin pressure for more than 2 hours, prone to bedsore, should strengthen the turn. Massage the pressed part to keep the skin clean and dry. Limbs are placed in functional positions to prevent deformity.

7. Diet: nutritious, low-fat, light and soft foods, such as eggs and bean products. People who have difficulty eating can tilt their heads to one side, feed slowly, avoid talking, and prevent coughing and suffocation.

8. Keep the stool unobstructed, eat more bananas and honey, drink more water, strengthen moderate turning, massage the abdomen and reduce constipation. Patients who do not defecate for several days or have poor defecation can use laxatives to induce defecation. It is forbidden to hold your breath and forcibly defecate to prevent cerebral hemorrhage again.

9. During the recovery period, raise the bedside 10~ 15○ according to the doctor's advice, and then gradually raise it to the semi-recumbent position according to the degree of tolerance and adaptation, ranging from 30 minutes to1~ 2 hours every day.

10. Hypertension is a common cause of this disease. Taking antihypertensive drugs should be quantified on time, and the dosage should not be increased or decreased at will to prevent the sudden rise and fall of blood pressure and aggravate the condition.

1 1. Follow-up regularly after discharge, monitor blood pressure and blood lipids, and take appropriate physical activities, such as walking and Tai Ji Chuan.

Diet of patients with cerebral hemorrhage

Besides medication, a reasonable diet is also important for rehabilitation.

If the stroke patients are in stable condition, but have different degrees of disturbance of consciousness and dysphagia, they should adopt nasal feeding diet, and infuse digestible juicy diet, such as thick rice soup, soybean milk, milk, fresh vegetable juice and fruit juice, or infuse 1000-2000ml mixed milk for 5-6 times, and the infused food should not be overheated or cooled to 37℃-39℃. The raw materials for making mixed milk are 600 ml of fresh milk, 350 ml of concentrated rice soup, 2 eggs, 50 g of sugar, 0/0 g of sesame oil/kloc-0, and 3 g of salt. The preparation method is divided into three steps: (1) break the washed eggs, put them in a clean container, add sugar, salt and oil, and stir them evenly with chopsticks; (2) 600 ml of fresh milk and 350 ml of rice soup are mixed and boiled; (3) Pour the prepared egg liquid into the cooked milk-rice soup, and stir with chopsticks while pouring to obtain 1000 ml mixed milk. This 1000 ml mixed milk contains 40 grams of egg white, 40 grams of fat, 0/20 grams of sugar and 4 184 kilojoules (1000 kilocalories). If the patient is complicated with diabetes, no sugar is added.

If stroke patients are conscious, but sometimes they choke when eating, they should be given a pasty diet, including steamed egg soup, thick porridge with minced meat and vegetables, rotten noodles with minced meat and vegetables, lotus root starch washed with milk and fruit pulp, or mashed food with a masher and served to the patients.

Stroke patients don't have dysphagia in the recovery period, so they should adopt a light, less greasy and digestible soft and balanced diet.

The first is animal fat, such as lard, butter, cream and so on. And foods with high cholesterol content, such as egg yolk, roe, animal viscera, fat meat, etc. , should be limited, because the saturated fatty acids contained in these foods can significantly increase the blood cholesterol concentration and promote arteriosclerosis; Vegetable oils can be used, such as soybean oil, tea oil, sesame oil, peanut oil, etc. Because the unsaturated fat contained in it can promote cholesterol excretion and convert it into bile acid, so as to reduce the blood cholesterol content and delay and relieve arteriosclerosis.

Secondly, there should be proper protein in the diet, and we should always eat some egg whites, lean meat, fish and various beans and bean products to supply the body with ammonia and acid. Generally, drink a cup of milk and a cup of yogurt every day, because milk contains milk factor and orotic acid, which can inhibit the synthesis of cholesterol in the body and reduce the content of blood lipid and cholesterol. When drinking milk, you can remove the skin. Beans contain sterols, which can also promote cholesterol excretion.

Eat more fresh vegetables and fruits because they contain vitamin C, potassium and magnesium. Vitamin C can lower cholesterol, enhance the density of blood vessels and prevent bleeding. Potassium and magnesium have protective effects on the etiology of hypertension.

You can eat more foods rich in iodine, such as kelp, seaweed and shrimp. Iodine can reduce the deposition of cholesterol on the arterial wall and prevent arteriosclerosis.

It is advisable to keep the daily salt content below 6 grams. Because salt contains a lot of sodium ions, too much sodium ions will increase blood volume and heart burden, increase blood viscosity, and thus raise blood pressure, which is not good for stroke patients.

Avoid foods that irritate the nervous system, such as wine, strong tea, coffee and spicy spices. In addition, eating less chicken soup and broth is beneficial to protect the cardiovascular and cerebrovascular systems and the nervous system, and overeating is also necessary.

Stroke patients at home can generally choose the following supplementary diet prescription: 1. 6 grams of auricularia auricula, soaked in water, with vegetables or steamed. It can reduce blood lipid, prevent thrombosis and prevent platelet aggregation. 2. Five celery roots and 10 red dates, decocted in water and eaten in jujube soup, can reduce blood cholesterol. 3. Eat fresh hawthorn or soak it in boiling water, add some honey, and let it cool to make tea. If stroke complicated with diabetes, honey should not be added. 4. Eating raw garlic or onion 10- 15g can reduce blood lipid, enhance fibrin activity and prevent arteriosclerosis. 5. The vinegar of stroke patients after meals is 5- 10 ml, which has the effect of softening blood vessels.

Sequelae of cerebral hemorrhage-There are tips for rehabilitation.

Some patients with cerebral hemorrhage have saved their lives after treatment, but they have left the sequelae of hemiplegia, especially the patients' hands, which are always like fists. Our family has a unique skill since ancient times. By pressing the base of the patient's nail, the hand can be extended. If you press it once a day, after seven or eight times, it is not a problem to stretch freely even if you can't return to the original level.

The specific method is: the performer presses the nail root of the affected side of the patient with his thumb nails. The requirement is that it must be pressed on the nail root, not on the nail meat. After finding the position, with a gentle force, the patient's finger will stretch out on its own at that time, and the time should not exceed 30 seconds. Might as well add some. Both the performer and the patient read "the meridians are unblocked and the cerebral vessels are unblocked". The pressing sequence is as follows: first, press the nail roots of the middle finger and thumb (fingers extend outward when forced), then press the nail roots of the index finger and the nameless nail, and finally press the nail roots of the middle finger repeatedly with the small nail roots, and press them back and forth for * * * three times. (Sun Hongde, Changling County, Jilin Province)

After acute cerebral hemorrhage, we should pay attention to the following problems:

Psychological care:

In the acute phase, family members and patients pay attention to saving lives, while in the recovery phase, they are often eager to restore their functions and ask them to take care of themselves quickly and even go to work. There are many people who need new drugs and new treatments; Some patients are pessimistic, disappointed and depressed. Therefore, patients should be encouraged to establish confidence in overcoming the disease, be physically disabled and determined; We should treat our diseases and functions realistically and strive for a good prognosis. We should cooperate with medical staff and families to overcome the disease. "If you come, you will be safe." Otherwise, if you are eager to get well, you will be impatient, but it will be bad.

Pay attention to rational drug use:

Because patients often suffer from several diseases or symptoms at the same time, doctors prescribe a variety of drugs, so relatives and friends or their families should not add a lot of drugs themselves. Excessive and disorderly medication may have side effects on the stomach, liver, kidney or hematopoietic system, which will not only accelerate recovery, but also lead to other problems.

Prevention of recurrence of stroke:

It is meaningful to prevent recurrence in recovery period. Because stroke can suddenly recur, the more attacks, the worse the prognosis and the higher the mortality. In order to prevent recurrence, attention should be paid to stabilizing blood pressure, eating properly, and whether there are cardiopulmonary complications.

Do a good job in family rehabilitation:

The rehabilitation period is generally spent at home, and family members should know how to do a good job in family rehabilitation. During this period, drugs are no longer the main treatment.

Attach importance to rehabilitation nursing;

Including psychological nursing and basic nursing, to ensure the basic needs of patients; Do a good job in special care, depending on the specific patient and condition, such as nasal feeding tube, urinary tube, bedsore care.

Ensure proper nutrition and intake:

Because stroke patients are often accompanied by aphasia, they can't express their wishes correctly, or they have difficulty choking and swallowing, and they can't guarantee eating. Their intake is often insufficient or excessive, so their families should pay enough attention to it. Need to set a recipe, set a fixed amount, supply at a fixed time, and feed through a nasal tube if necessary.

Smooth stool:

Constipation and excessive defecation can induce hemorrhagic cerebral embolism in the middle of the year. In order to keep the stool unobstructed, defecate regularly and eat celery, carrots and fruits properly. Drugs can be used when necessary, such as boiling water for diarrhea, Maren Runchang pills, fruit guide and so on.

cerebral haemorrhage

Syndrome differentiation: deficiency of kidney yin, hyperactivity of liver yang, stagnation of phlegm and heat, and imbalance of wind and yang.

Treatment: nourishing yin and suppressing yang, inducing resuscitation and resolving phlegm.

Fangming Erliu decoction

Is prepared from Radix Rehmanniae 12g, Cortex Moutan 12g, Rhizoma Alismatis 12g, Poria 12g, Fructus Jujubae 12g, Concha Ostreae 12g, Os Draconis 12g, and Fructus Corni.

Usage: decoct with water, 1 dose, twice a day.

Source Lisi Chi Fang.

Recommend several foods beneficial to cerebral hemorrhage, others recommend food.

Fresh cress juice, drunk twice a day, can prevent cerebral hemorrhage and is also effective in treating sequelae.

Boiled soybeans, a small amount each time, and continuous consumption can prevent cerebral hemorrhage.

Drinking radish juice after cerebral hemorrhage is helpful for recovery.

Sesame is rich in vitamin E, which is effective in improving peripheral vascular occlusion and hypertension.

Notoginseng Radix: It has two-way regulating effect on cerebrovascular diseases, and can be used for patients with cerebral hemorrhage and cerebral thrombosis. Clinical observation shows that Panax notoginseng has the function of stopping bleeding and promoting blood circulation without bleeding in the treatment of cardiovascular and cerebrovascular diseases.

Patients with cerebral hemorrhage should not only actively cooperate with treatment in medicine, but also pay more attention to diet, which will be more helpful for the improvement of their condition. If stroke patients are conscious, but sometimes they choke when eating, they should be given a pasty diet, including steamed egg soup, thick porridge with minced meat and vegetables, rotten noodles with minced meat and vegetables, lotus root starch washed with milk and fruit pulp, or mashed food with a masher and served to the patients.

Stroke patients don't have dysphagia in the recovery period, so they should adopt a light, less greasy and digestible soft and balanced diet.

Prevention methods of cerebral hemorrhage

(a) people over the age of 40, regular physical examination, early onset and no hypertension or arteriosclerosis.

(2) Avoid sudden changes in blood pressure and strenuous exercise.

(3) Eat a balanced diet, eat less animal fat and eat a diet high in cholesterol and salt.

(4) smoke less and drink less.

(5) Commercial patients identified as dangerous need to take medicine on time and check regularly.

Family nursing methods for patients with cerebral hemorrhage

1, psychological nursing

Patients with cerebral hemorrhage often have emotional reactions such as depression, frustration, irritability, pessimism and disappointment. Therefore, family members should be psychologically considerate of patients, talk with them more, comfort and encourage them, create a good family atmosphere, patiently explain their illness, eliminate their doubts and pessimism, make them understand their illness, and establish and consolidate their confidence and determination in functional rehabilitation training.

2. Nursing care to prevent complications

(1) Help the patient turn over and pat the back 4-6 times a day regularly, each time for about 10 minutes. Once the patient is found to have yellow phlegm, fever, shortness of breath and blue lips, he should seek medical treatment immediately.

(2) Encourage patients to drink more water to clean the urinary tract. And pay attention to the cleanliness of perineum to prevent cross infection. If urine turbidity and fever are found, it is a sign of urinary tract infection and should be treated as soon as possible.

(3) Most paralyzed patients have constipation, and some may cause cerebral hemorrhage to happen again because of forced defecation. Therefore, we should pay attention to the diet structure, give patients a low-fat, high-protein and high-energy diet and fruits and vegetables containing crude fiber, and give them enough water. Regularly defecate the toilet, and use laxatives and enemas when necessary.

(4) Patients are paralyzed in bed, and bedsores are prone to occur at bony protrusions such as occipital tuberosity, scapula, buttocks, sacrococcygeal region and heel. Use a soft pillow or sea cushion to protect the bone protuberance, turn over every 2~3 hours, avoid procrastination, keep the bed dry and clean, take warm baths and massage regularly, improve local blood circulation and local nutritional status.

(5) Massage the limbs 10~ 15 minutes every day to promote venous blood return and prevent deep venous thrombosis. Once unexplained fever and lower limb swelling and pain are found, they should be diagnosed and treated quickly.

Different symptoms of cerebral hemorrhage:

(1) Internal capsule hemorrhage: It is the most common bleeding site. Its typical clinical manifestations are contralateral "three deviations" (hemiplegia, hemiparalysis and hemianopia). The internal capsule has a wide range of bleeding and the symptoms of nerve damage are serious. However, if the bleeding is outside the internal capsule and mainly damages the external capsule, the clinical symptoms will be lighter, there will be more unconscious obstacles, hemiplegia will be lighter and the prognosis will be better.

(2) Thalamic hemorrhage: If it is unilateral thalamic hemorrhage with a small amount of bleeding, it will show contralateral paraplegia and contralateral hemiplegia, especially proprioception. If the amount of bleeding is large, and the damaged part spreads to the contralateral thalamus and hypothalamus, there will be coffee-like vomiting, frequent vomiting, ejection, polyuria, urine sugar, quadriplegia, eyes staring at the tip of the nose and other symptoms. The condition is often critical and the prognosis is not good.

(3) Cerebral lobe hemorrhage: also known as subcortical white matter hemorrhage, can occur in any cerebral lobe. In addition to headache and vomiting, the clinical manifestations of hemorrhage in different lobes are also different. For example, frontal lobe hemorrhage can cause mental symptoms, such as irritability, suspicion, contralateral hemiplegia, motor aphasia and so on. Contralateral sensory disturbance occurred in parietal lobe hemorrhage; Temporal lobe hemorrhage can cause sensory aphasia and mental symptoms. The most common form of hemianopia is occipital lobe hemorrhage. Cerebral lobe hemorrhage generally has mild symptoms and relatively good prognosis.

(4) Pontine hemorrhage: Pontine is the most common part of brain stem hemorrhage. The early manifestations of the disease are lateral paralysis and the spread of the opposite limb, which is called cross paralysis. This is the clinical feature of pons cerebral hemorrhage. If the amount of bleeding is large, it will affect the opposite side, leading to quadriplegia, pupil contraction, high fever, coma and other symptoms; If the blood breaks into the fourth ventricle, there will be serious symptoms such as convulsions and irregular breathing, and the prognosis is not good;

(5) Cerebellar hemorrhage: If the amount of bleeding is small, the clinical manifestations are often dizziness first, followed by severe headache, frequent vomiting, unstable walking and unclear speech; If the amount of bleeding is large, it will oppress the life center of the medulla oblongata, and in severe cases it will die suddenly.

(6) Ventricular hemorrhage: Generally, it can be divided into primary and secondary. Primary ventricular hemorrhage is a rare rupture of choroid plexus of ventricle. The second situation is due to a large amount of bleeding in the brain, penetrating the brain parenchyma and flowing into the ventricle. The clinical manifestations are vomiting, hyperhidrosis, purple or pale skin. 65438+ fell into deep coma, high fever, quadriplegia or tonic convulsion, unstable blood pressure, irregular breathing, etc. 0 ~ 2 hours after onset. Most cases are serious and have poor prognosis.

In the weather with large temperature difference, we must prevent the occurrence of cerebral hemorrhage!

According to statistics, there are about 2 million new stroke patients in China every year, nearly one third of whom have died and one third have been disabled for life. At present, there are about 7 million survivors. Risk factors for stroke include hypertension, smoking, diabetes, obesity and atrial fibrillation. Among them, hypertension and heart disease are the main factors leading to stroke, and they are also hidden dangers of sudden cerebrovascular accidents affected by climate.

In late autumn and autumn, the temperature difference between day and night is further increased, and the air pressure fluctuates greatly due to weather changes. During this period, the incidence of cardiovascular and cerebrovascular diseases has greatly increased, and those who suffer from hypertension and arteriosclerosis should prevent cerebral hemorrhage.

It is suggested that citizens drink more water in the morning and evening to reduce the increase of blood viscosity and prevent bleeding; Constipation can lead to increased heart load, elevated blood pressure and induced stroke. Therefore, we should eat more fruits and vegetables and keep the stool unobstructed. It is best for the elderly to eat more celery, take more walks and walk for several kilometers every day, which can lower blood pressure and blood sugar.