Hypertension is the main cause of cerebral hemorrhage.
At present, in most county hospitals in China, the technology is relatively mature, so rest assured.
If there is a lot of bleeding, surgery is better than no surgery. Because if you don't have surgery, you may be in a vegetative state. It might be better if you have an operation. It's only possible, because you can't say the percentage probability because you're not detailed.
Take the time to go to the hospital for examination and consultation, and the website may not get a better reply.
Just do a good job of nursing, and adjusting your diet will help.
Depending on the location and amount of bleeding, some people can recover well, while others can't take care of themselves.
Now we should do a good job in nursing. Patients work hard, so do their families. Give more massage to help the blood circulation of the disabled side.
Pay attention to diet, control blood pressure and exercise. This is a high-intensity systematic project, and we must work together with patients. As long as we exercise, it will have an effect.
Also, pay attention to diet and exercise, don't work too hard, and pay attention to prevent constipation.
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What are the nursing precautions for cerebral hemorrhage?
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.
After acute cerebral hemorrhage, we should pay attention to the following problems:
(l) Psychological care: In the acute stage, the attention of family members and patients is focused on saving lives, while in the rehabilitation stage, they are often anxious to restore their functions and ask them to take care of themselves quickly or 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.
(2) Pay attention to rational drug use: Because patients often suffer from several diseases or symptoms at the same time, doctors have prescribed a variety of drugs, so relatives and friends or family members should not add more 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.
(3) preventing the 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.
(4) 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.
(5) Pay attention 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.
(6) Ensure proper nutrition and intake: Because stroke patients are often accompanied by aphasia, they can't express their wishes correctly, or they have difficulty coughing and swallowing, so they can't ensure eating. Intake is often insufficient or excessive, and 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.
(7) Smooth defecation: 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.