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summarize

Cerebral hemorrhage, also known as cerebral hemorrhage, which has a rapid onset, vicious condition, and very high mortality rate, is the most serious type of acute cerebrovascular disease, and is one of the most fatal diseases for middle-aged and elderly people at present. Cerebral hemorrhage, with 40 to 70 years old as the main age of onset, the cause of cerebral hemorrhage is mainly related to cerebral vascular lesions, hardening. The cause of cerebral hemorrhage is mainly related to the lesion and hardening of cerebral blood vessels. The lesion of blood vessels is closely related to high blood fat, diabetes mellitus, hypertension, aging of blood vessels and smoking. Cerebral hemorrhage is usually referred to as spontaneous primary cerebral hemorrhage. Patients often have a sudden onset of hemorrhage due to emotional excitement and exertion, manifesting as aphasia, hemiparesis, or in severe cases, unconsciousness, and more than half of the patients are accompanied by headache and vomiting. The main cause of cerebral hemorrhage is long-term hypertension and arteriosclerosis. In the vast majority of patients, blood pressure rises significantly at the onset of the disease, leading to rupture of blood vessels and causing cerebral hemorrhage.

Cerebral hemorrhage precursors

1. Frequent recurrent nosebleeds.

2. Sudden onset of more severe headache, or longer duration of the disease, there is a tendency to gradually aggravate. And mostly accompanied by nausea, vomiting symptoms.

3. Sudden speech impediment when talking to others, or slurred speech, not understanding what others are saying.

4. Impaired consciousness, confused awakening, incontinence.

5. Dizziness, a feeling of spinning in the surroundings, inability to stand steadily or fainting. These symptoms can be transient, recurring or worsening.

6. Heavy shadows appear in the eyes and the neck becomes stiff.

7. Unstable walking, one side of the body usually feels numbness, weakness, inability to move flexibly, dropping of hand-held objects, crooked mouth, drooling.

8, once the unexplained sleepiness, drowsiness phenomenon, must pay great attention to, is likely to be the precursor of ischemic stroke.

Clinical manifestations of cerebral hemorrhage:

Cerebral hemorrhage usually develops easily during physically and mentally stressful activities or emotional excitement. The onset of the disease is rapid and fast developing, reaching its peak in tens of minutes to hours. It is common to see patients with cerebral hemorrhage collapsing on the side of the road, in the toilet, or on the floor next to the bed, with confusion, loud snoring, vomiting of stomach contents, sometimes coffee-colored, incontinence, and hemiplegia. Patients with smaller amounts of cerebral hemorrhage describe more severe headaches. There is hemorrhage in the fundus of the eye and the vision is not clear. There is a high-density hemorrhagic shadow on CT examination.

The degree of cerebral hemorrhage is strongly related to the site of bleeding and the amount of bleeding. Inconscience from the very onset of the disease, which gradually worsens, indicates that the bleeding site is bad and the amount of bleeding is large.

Emergency care for cerebral hemorrhage

When you find it, call 120 first to prepare for transport to the hospital.

1. Keep the patient sedated and lie him/her down immediately. Never rush the patient to the hospital to avoid road shock. Tilt his head to one side to prevent sputum and vomit from being inhaled into the airway.

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

3. If the patient is unconscious and snores strongly, it means that the root of his tongue has fallen, so use a handkerchief or gauze to wrap the patient's tongue and gently pull it outward.

4、Cold towels can be used to cover the patient's head, because blood vessels contract when cold, which can reduce the amount of bleeding.

5、When the patient is incontinent, it should be handled on the spot, and the patient's body should not be moved arbitrarily to prevent the cerebral hemorrhage from aggravating.

6, in the patient's condition stabilized on the way to the hospital, the vehicle should try to drive smoothly to reduce the bumps and vibrations; at the same time, the patient's head will be slightly elevated, and the ground to maintain a 20-degree angle, and pay attention to changes in the condition at any time.

How to Prevent Cerebral Hemorrhage

1, life should be regular elderly people can properly do some labor within their capacity but not too tired.

2, blood pressure should be controlled Hypertension is a lifelong disease to life-long medication can not be three days to fish two days, so that the blood pressure repeatedly rebound very easy to lead to blood vessel rupture occurred cerebral hemorrhage.

3, maintain a good state of mind to maintain optimism, to avoid too much excitement to achieve a calm state of mind to reduce the worry, sadness and happiness do not overly indifferent to fame and fortune know enough to be happy.

4, pay attention to diet Diet should pay attention to low-fat, low-salt and low-sugar, eat less animal brain offal, eat more vegetables and fruits soy products, moderate amount of lean meat, fish and eggs.

5, prevent constipation stool dryness defecation force, not only the abdominal pressure rises, blood pressure and intracranial pressure also rise at the same time. It is very easy to make the fragile small blood vessels rupture and cause cerebral hemorrhage.

6. Preventing Exhaustion Physical and mental labor should not be too tiring, and overload work can induce cerebral hemorrhage.

7, pay attention to weather changes Cold weather is a good season for stroke, blood vessel contraction blood pressure is easy to rise, pay attention to keep warm so that the body adapts to climate change, but also according to their own health condition to carry out some suitable physical exercise.

8, often move the left hand in daily life as much as possible with the left upper limb and the left lower limb, especially with the left hand can reduce the burden of the left hemisphere of the brain. And can exercise the right hemisphere of the brain to strengthen the coordination function of the right hemisphere of the brain, medical research shows that cerebral hemorrhage is most likely to occur in the blood vessels are more fragile right hemisphere of the brain.

9, pay close attention to their own body changes stroke will have some aura symptoms, such as no cause of severe headache dizziness fainting, some sudden numbness and weakness, or a momentary loss of vision language communication difficulties, etc., should be timely medical examination and treatment.

Cerebral hemorrhage is also commonly known as "cerebral hemorrhage", which accounts for about 20%-30% of all strokes in our country, because of its rapid onset, dangerous condition, high mortality rate, is a more serious type of acute cerebrovascular disease, the disease once the onset of the rescue a little bit untimely will be life-threatening.

The disease is common in patients over 50 years of age, slightly more men than women, with a higher incidence in the cold season and a history of hypertension. The onset of the disease occurs suddenly during emotional excitement or activities, and the condition often reaches its peak within minutes to hours after the onset of the disease. A small number of patients may also develop in a quiet state.

The severity of brain hemorrhage symptoms depends largely on the amount of bleeding and the location of the bleeding. Common symptoms include the following:

1, headache: patients often with headache onset, headache intense, different from the usual state, often accompanied by nausea, vomiting, due to increased intracranial pressure.

2. Obstruction of consciousness: it is manifested as drowsiness or coma, the degree of which is related to the site of cerebral hemorrhage, the amount and speed of hemorrhage. If there is a large amount of hemorrhage in a short period of time in a deeper part of the brain, the patient can enter a deep coma, and most of the patients will have consciousness disorder.

3. Sustained increase in blood pressure: this is also the most prominent manifestation. Sudden and continuous increase of blood pressure above 200/120mmHg is the precursor of cerebral hemorrhage, or the patient's blood pressure fluctuates greatly, the cerebral arteries are impacted by repeated fluctuations or elevated blood pressure, and one day will not be able to withstand this impact and rupture leading to cerebral hemorrhage, therefore, high blood pressure is a high-risk factor for cerebral hemorrhage, and as the condition further develops and aggravates, the patient tends to experience cerebral herniation, which will ultimately lead to death due to Respiratory and circulatory failure leading to death.

4. Vomiting: Vomiting occurs in 50% of patients, which may be related to increased intracranial pressure during cerebral hemorrhage, vertigo attacks, and blood irritation of the meninges.

5. Gazing of both eyes to one side, or loss or blurring of vision in one or both eyes, heavy shadows in the eyes or sudden onset of eye distension, blurring of vision, and subconjunctival hemorrhage.

6. Slurred speech or difficulty in understanding language: some patients suddenly have trouble speaking, stuttering, or failing to say what they want to say, which indicates that the brain tissue controlling language has been in trouble.

The overall prognosis for cerebral hemorrhage is poor. Cerebral edema, increased intracranial pressure and brain herniation are the main causes of death. The prognosis is related to the amount of hemorrhage, the location of the hemorrhage, the state of consciousness and the presence of complications. Brainstem, thalamic and massive ventricular hemorrhages have a poorer prognosis. Unlike cerebral infarction, many patients with cerebral hemorrhage can recover relatively well from their initial severe neurological deficits, or even return to normal completely. If blood pressure is well controlled, recurrence of hypertensive cerebral hemorrhage in general is relatively low, with the exception of cerebral hemorrhage due to arterio-venous vascular malformations, where the annual recurrence rate approaches 2%.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

7 Signs Before a Cerebrovascular Collapse, It's Going to Bleed Out!

As we all know, the occurrence of cerebral hemorrhage is often very sudden, but in the early stage of the disease, there will be more or less abnormal symptoms, only that people often overlooked. Especially in the high-risk group of cerebral hemorrhage, the following signals must be vigilant:

Signs of Cerebrovascular Collapse #1: Sudden onset of significant vertigo

Most patients with cerebral hemorrhage have experienced dizziness of varying degrees before the onset of the disease. This kind of dizziness occurs suddenly without any reason and feels like the sky is spinning, making people unsteady or even fainting on the ground immediately.

Signs of Cerebrovascular Collapse 2: Sudden Severe Headache

Severe headaches have no obvious trigger and are usually a swelling pain in the head, in some cases progressing from a mild headache to an unbearable headache that can be accompanied by symptoms of nausea and vomiting. This signal is relatively easy to draw attention to and is one of the most obvious features of a cerebral hemorrhage attack.

Signs of Cerebrovascular Collapse 3: Numbness in one limb

According to the recall of patients and their family members, before the onset of cerebral hemorrhage, many patients will suddenly experience numbness and weakness of half of their body, have difficulty in moving around, and drop things they originally held in their hands, and some patients will subsequently experience symptoms such as crooked corners of the mouth and drooling.

Signs of Cerebrovascular Collapse #4: Hard tongue, poor speech

This symptom often follows the numbness of one side of the limbs, and when the patient has a cerebral hemorrhage attack, he or she will suddenly feel that his or her tongue is hard and swollen, and he or she will not be able to speak clearly.

Signs of Cerebrovascular Collapse 5: Transient Blurred Vision

If your vision is normal, you may suddenly experience blackness in both eyes, blurred vision and double vision. This symptom is temporary, after a while can return to normal, but can not be careless, this is the precursor of cerebral hemorrhage.

Signs of Cerebrovascular Collapse #6: Not not enough sleep, but always yawning

Yawning is originally the human body due to lack of sleep and a physiological response, but the cerebrovascular bad people, can be at any time any place frequent yawning, suggesting that the brain lack of oxygen.

Signs of Cerebrovascular Collapse 7: Frequent daytime sleepiness

Some patients with cerebral hemorrhage report that they are always drowsy for a period of time before the onset of the disease, and even if they sleep well at night, they still feel very tired and sleepy during the day.

Cerebral hemorrhage usually occurs at the age of 50-70 years old, is more common in men than in women, has a higher incidence in winter and spring, and has a history of high blood pressure. Cerebral hemorrhage usually occurs during emotional excitement or activities, and once it occurs, it will reach its peak in a few minutes to a few hours. After cerebral hemorrhage, there will be significant high blood pressure, and there will be the manifestation of elevated intracranial pressure, which is mainly headache, vomiting, and varying degrees of consciousness disorders, and in severe cases, it will be directly coma, and a small portion of patients with cerebral hemorrhage will have convulsions.

In addition, different sites of cerebral hemorrhage will have different localizing symptoms.

For example, a hemorrhage in the basal ganglia region (the most common site of cerebral hemorrhage) will be characterized by contralateral hemiparesis, hemiplegia, hemiplegia, and isotropic hemianopsia, such as a hemorrhage on the left side of the basal ganglia, and then hemiparesis of the right limb, sensory deficits in the right limb, and visual deficits in the left side of the body will be manifested.

If it is a lobe hemorrhage, there will be different symptoms because different computerized lobes of the brain control different functions. For example, in frontal lobe hemorrhage there will be hemiparesis, incontinence, aphasia, strong grip reflex (similar to infants), in case of temporal lobe hemorrhage there will be aphasia, in addition to psychiatric symptoms, epilepsy, etc., and in case of occipital lobe hemorrhage there will be visual field defects; in case of parietal lobe hemorrhage there will be hemiparesis, mild hemiparesis, and so on.

If it is a brain stem hemorrhage, the condition may be terminal and the patient usually falls rapidly into a coma, bilateral pinpoint pupils (pupils are very, very small, like the tips of needles), vomiting of coffee-like gastric contents, high fever (central hyperthermia), respiratory disturbances, paralysis of the limbs, deafferentation, and so on. If it is a small amount of brainstem hemorrhage, there may be no consciousness disorder.

There is a part of the brainstem called the medulla oblongata, if the medulla oblongata is bleeding, the patient is basically in a bad way, because the medulla oblongata controls the body's breathing and heart rate, once the bleeding here, it is easy to affect the blood pressure and heart rate, and the person will die very quickly.

Cerebellar hemorrhage can be associated with headache, vomiting, vertigo, ataxia (unsteadiness in standing, etc., similar to being drunk).

In summary, the symptoms are not quite the same for different parts of the brain hemorrhage.

Thank you! There are very, very many symptoms of brain hemorrhage, and for the average person, recognizing three of them is enough, whereas if you are a professional, you must be better at recognizing them and giving timely and relevant treatment measures.

For the average person, it is enough to recognize three, for example, the first is dizziness and headache, and it is often dominated by headache, and then it is accompanied by nausea and vomiting, and even in some cases, projectile vomiting, in which case it is very likely to indicate the patient's clinical symptoms, which are very severe.

The second is the numbness and weakness of the limbs and speech impairment, which is often very common in the clinic and occurs gradually, or may appear suddenly in some people. Generally speaking, the person may suddenly be unable to hold things correctly, or drop things that were in his hand, or suddenly fall down or be unable to stand up. Others may suddenly be unable to speak or only be able to pronounce words, and some may not be able to understand what others are saying, and so on.

The 3rd one is the development of drowsiness, drowsiness coming from a coma, which means that there is always a desire to sleep, very sleepy, and even at times not being able to wake up. All of these can occur because many, many people in the clinic are often too late to get to the hospital because of this.

Then there are some more, less recognizable symptoms for professionals, but they need to be taken seriously.

For example, some people may have vision loss, visual field defects, blurred vision, etc., which may be caused by occipital lobe hemorrhage; some people may have epileptic convulsions, limb twitching, foaming at the mouth, urinary and fecal incontinence, etc., which may be caused by temporal lobe hemorrhage; some people may have squinting of both eyes to the one side, and they are unable to return to their position, which may be caused by internal capsule hemorrhage; others may have personality changes and cognitive decline, for example, their former introverted personality changes to extroverted personality, or they may have violent tendencies. Others may have personality changes and cognitive decline, such as change from introvert to extrovert, or have violent tendency, or have memory loss, cognitive decline, orientation decline, and computational decline, which may be caused by frontal lobe hemorrhage. Others may have unsteady walking, ataxia, etc., which may be due to cerebellar hemorrhage. Some people may also experience numbness on one side of the face, which is also associated with brain stem hemorrhage.

So in the clinic, in order to really recognize a brain hemorrhage, there are many, many symptoms that you can't recognize purely in terms of symptoms. However, more often than not, it is only when there is a certain adverse reaction, and then the patient goes to the hospital in time for a CT scan of the head, that the diagnosis can be made. In order to diagnose cerebral hemorrhage, it is necessary to combine clinical manifestations, imaging tests and physical examination to make a joint judgment.

So if you do have an unfavorable situation go to the hospital in time, it is the safest way to wish you all good health!

Cerebral hemorrhage is characterized by high mortality rate, high recurrence rate, and high disability rate. Once cerebral hemorrhage occurs, the less severe cases may only have mild disability, while the more severe cases may be comatose or even dead.

7 Signs of Brain Hemorrhage

1. Dizziness with headache. The headache is often located on the bleeding side of the head, and when intracranial pressure increases, the pain can spread throughout the head, with dizziness and headache occurring at the same time, occurring briefly once or recurring or worsening.

2. Significant increase in blood pressure. Before a cerebral hemorrhage, patients usually have a significant increase in blood pressure, are prone to dizziness, feel dizzy and unsteady on their feet, and when the meninges are irritated, they are extremely prone to nausea and vomiting.

3、Numbness of face and fingers. Some patients with cerebral hemorrhage will have numbness on one side of the body before the onset of the disease, or numbness of the face, arms, or fingers, with the numbness of the fingers being most pronounced in the ring finger.

4. Recent repeated nosebleedsThe first is that it is not a good idea to have a nosebleed. Hypertensive patients if recently often nosebleeds, be vigilant, this is in addition to the fire may also be the precursor of cerebral hemorrhage, recent repeated nosebleeds, or omen six months will be a cerebral hemorrhage, both the patient and family members, should pay close attention.

5. Slurred words.. Slurred speech or a suggestion of fluctuating blood pressure or impaired brain function is a harbinger of cerebral hemorrhage or subarachnoid hemorrhage.

6, sleepy like yawning. A cerebral hemorrhage can lead to hypoxemia in the patient's brain tissue, which can predispose them to brain dysfunction and symptoms of daytime sleepiness and frequent yawning. Patients are also unable to effectively manage this fatigue, even if they get enough sleep.

7. Darkness before the eyes, transient loss of visual fieldThe condition is known as "transient blackout". Reduced blood flow to the brain or tiny blood clots across the retina can easily lead to a lack of blood supply to the ipsilateral or ophthalmic arteries, resulting in symptoms of visual disturbances in the eyes, a condition known as "transient blackout". This condition is known as "transient blackout". The patient may suddenly have difficulty seeing or see things in their entirety, and may feel that what they see is blurred and double-imaged, and it often takes a few minutes for things to return to normal.

These 5 types of people are prone to brain hemorrhage

1、Three high patients

High blood lipids and high blood sugar can make the cerebral blood vessels become brittle and hard; high blood pressure will impact on the cerebral blood vessel wall and induce cerebral hemorrhage.

2、Smoking and drinking crowd

Cigarette smoke can damage the inner lining of blood vessels, making them brittle and hard; drinking large amounts of alcohol, which is one of the causes of cerebral hemorrhage, is also harmful to blood vessels.

3. People with high mood swings

High mood swings can easily lead to unstable blood pressure, which can increase the chances of brain hemorrhage.

4、Cooled people

In cold weather, blood vessels constrict and blood pressure tends to rise, which can easily cause cerebral blood vessels to rupture.

5. Obese people

Obese people's cerebral blood vessel walls are prone to fat accumulation, making the cerebral blood vessel walls less elastic and increasing the chances of cerebral blood vessel rupture.

If you account for more than 2 of these 5 above, then you are in a high-risk group.

How to Prevent Brain Hemorrhage

[Sando]

1. Drink more water

Helps to thin the blood, preventing vascular waste from being deposited in the walls of the blood vessels and preventing the cerebral blood vessels from becoming brittle and hard.

2、More left hand

In daily life, try to use the left upper limb and the left lower limb, especially with the left hand, can reduce the burden on the left hemisphere of the brain, but also exercise the right hemisphere of the brain.

Studies have shown that cerebral hemorrhage is most likely to occur in the right cerebral hemisphere, where blood vessels are more fragile, so the best way to guard against cerebral hemorrhage is to rotate two exercise balls with your left hand in the morning and evening to help develop the right cerebral hemisphere.

3. Eat more fruits and vegetables

Eat more fresh vegetables and fruits, vegetables and fruits have a variety of vitamins, minerals, dietary fiber, have clean blood vessel garbage, enhance blood vessel elasticity.

[Four No's]

1、No fall

When blood vessels are more fragile, there is a risk of intracranial blood vessel rupture when you fall. If you are in a high-risk group, especially the elderly, a fall can not only lead to a brain hemorrhage, but also to fractures.

2、No strain

Physical and mental labor should not be too strenuous; overloading can induce cerebral hemorrhage.

3. Not eating "three highs"

High salt, high fat, high sugar and other three high diet will further aggravate the hardening of the cerebral blood vessels, so we should also quit the "three high" diet.

For a healthy diet, eat foods that contain omega-3 polyunsaturated fatty acids.

4、No anger

Anger puts the body in a state of stress, which secretes a large amount of adrenaline, leading to spasmodic contraction of small blood vessels and microvessels throughout the body, which reduces the local blood supply and slows down the flow of blood in the blood vessels, resulting in the formation of vascular embolism.

Cerebral hemorrhage, also known as hemorrhagic stroke, is commonly caused by hypertension, trauma, cerebrovascular malformation, tumors, and other causes; however, the most common is cerebral hemorrhage caused by high blood pressure, and the common sites of hemorrhage are the basal ganglia, the thalamus, the brainstem, and the cerebellar hemispheres.

Yesterday, we encountered 2 cases of hypertensive cerebral hemorrhage on duty. The first case was a 50-year-old man with a right external capsule hemorrhage that broke into the ventricle, with a volume of more than 40 ml. The hemorrhage was relatively large and broke into the ventricle, which required immediate surgery, but the prognosis was often poor. The second case was a 70-year-old woman with a left cerebellar hemisphere hemorrhage of about 8 ml, which was relatively small and could be treated conservatively.

The above two cases of cerebral hemorrhage patients have similar characteristics, years of history of hypertension, blood pressure control is not ideal, long-term hypertensive patients, poor vascular elasticity, encounter some triggers, it is easy to rupture bleeding.

What are the symptoms of cerebral hemorrhage?

Symptoms of cerebral hemorrhage are closely related to the location and amount of bleeding. Small amounts of bleeding can be treated conservatively; large amounts of bleeding are preferred to be treated surgically.

1. Basal ganglia hemorrhage:The nucleus accumbens is a common site of occurrence and is mainly caused by rupture of a small branch of the middle cerebral artery. When the hemorrhage is small, there may be only aphasia and mild impaired movement of the contralateral limb; when the hemorrhage is large, the internal capsule, which is the conduit for signals from the cerebral hemispheres, is involved, and symptoms of triple hemiplegia (hemiparesis, hemiplegia, hemiplegia, and hemianopsia) and aphasia can occur.

2. Thalamic hemorrhage:It is mainly caused by rupture of thalamic penetrating artery and thalamic geniculate artery. Typical clinical manifestations are hemiplegia, pupillary constriction, impaired consciousness, psychiatric symptoms, and memory symptoms, and the wave to the internal capsule will also appear as a triple hemiplegia sign.

3. Lobar hemorrhage:Different lobes of the brain have different functions, so the bleeding parts are different, and the symptoms are different; bleeding in the lobes of the brain usually has a larger hematoma volume, but the symptoms are milder.

Frontal lobe hemorrhage is associated with Broca's aphasia, dysuria, strong grip, and groping; parietal lobe hemorrhage is associated with deflective sensory deficits, and spatial dysarthria; temporal lobe hemorrhage is associated with psychiatric symptoms, epilepsy, and Wernicke's aphasia; and occipital lobe hemorrhage is associated with contralateral hemianopsia.

4. Brain bridge hemorrhage:When the hemorrhage volume is >5 ml, it spreads to both sides of the cerebral bridge, and the patient quickly becomes comatose, with bilateral pupils narrowing to pinpoint, quadriplegia, and vomiting, and the patient usually dies within 48 hours. When the hemorrhage is small, the lesion ipsilateral peripheral facial paralysis, contralateral hemiparesis, contralateral visual paralysis.

5. Cerebellar hemorrhage: When the volume is small, there is ataxia, nystagmus and cerebellar speech on the affected side, mostly without paralysis. When the hemorrhage is large, especially in the cerebellar earthworms, the disease progresses rapidly, with coma and finally death of the patient by herniation of the occipital foramen magnum.

6. Ventricular hemorrhage:When the hemorrhage is small, there is headache, vomiting, and neck tonus, and consciousness is much clearer; when the hemorrhage is large, it quickly enters a coma, goes to the brain tonus, and is soon comatose, with much rapid death.

Suspected brain hemorrhage, what tests should be done

The brain parenchyma is surrounded by the skull and ultrasound and X-ray do not show what is going on inside the brain well. If you suspect cerebral hemorrhage, give priority to cranial CT to screen for cerebral hemorrhage.

There is no radiation in MRI, can I get an MRI to screen for brain hemorrhage?Although MRI has no radiation and shows the brain parenchyma more clearly, it is also very demanding on the patient, requiring the patient to be immobile for 10 minutes, but patients suspected of having a cerebral hemorrhage are generally more irritable and uncooperative, and it is not possible to lie down calmly for 10 minutes, and furthermore, there are metal placements such as pacemakers and cardiac stents, which can't be done either.

So usually when symptoms such as limb symptoms and aphasia are present, the neurology department will first arrange for a CT of the head, and depending on the presence or absence of hemorrhage, different treatment options will be chosen.

What are the symptoms of a brain hemorrhage?

The short answer is as follows:

Some people have an aura before a cerebral hemorrhage attack, which can be a severe headache or a brief blurring of consciousness and weakness in the arms and legs, while many others have no such warning symptoms. It usually develops during the day when you are agitated, overexcited, make a hard bowel movement, overexert yourself, or engage in stressful brain activity.

Cerebral hemorrhage is usually rapid, often reaching its peak within minutes to hours. The onset of the disease varies depending on the location of the bleeding, the amount of bleeding and the body's reaction. Generally after a severe headache, followed by vomiting, then the blood pressure rises, face flushed, pulse slow and strong; some incontinence; some have convulsions; serious gastrointestinal bleeding; even breathing irregularly, appear "tidal respiration", the number of pulses, the body temperature rises, blood pressure drops, pupils dilated, it is a sign of danger. 1962. mother is so left the world, at that time I have not graduated from high school, so far the memory is worrying new ......

In some cases, cerebral hemorrhage, which occurs in the inner capsule of the brain, leads to hemiplegia and requires long-term bed-rest treatment and care. This was the case with my mother-in-law, who died in her nineties.

It is much better if the cerebral hemorrhage occurs in a small vessel rupture whose symptoms vary according to anatomical localization.

For patients with cerebral hemorrhage, it is necessary to completely bedridden, do not move, pay attention to take out the oral dentures, pay attention to the open airway; 48 hours later, to help turn over to prevent bedsores; maintain oxygen; strengthen the care: management, observation of the condition of the good, pay attention to nutrition; control of blood pressure; physical hypothermia treatment, and so on. The above measures are very important to save the patient's life!

The above is a brief summary for reference.

Cerebral hemorrhage, commonly known as "cerebral hemorrhage" and medically known as "hemorrhagic stroke", accounts for 30-40% of stroke patients.that 1 in 6 people worldwide will experience a stroke in this lifetime, and that a stroke occurs every 2 seconds.Most strokes are preceded by no warning., less than 1/3 of patients have a history of transient ischemic attacks.Therefore, don't think that stroke is a disease of old age, even if you are still young, have normal blood pressure, take care of your life, and have yearly medical checkups, you are just as likely to have a stroke.

If a stroke occurs, it can be recognized by the Stroke 120 Recognition Method:

1 Look -- one face is asymmetrical and the corners of the mouth are crooked

2 checks -- both arms, unilateral weakness, unable to lift

0 (listen) -- to speak in a slurred, unintelligible manner

If any of these symptoms occur suddenly, immediately call the emergency number 1-2-0 to get the patient to a hospital with stroke care as quickly as possible for resuscitation.

Stroke prevention and control measures are comprehensive, in addition to checking the cerebrovascular examination and carotid artery examination, etc., it is also necessary to control the risk factors of stroke, such as: ① Behavioral factors, the biggest risk is smoking; ② Mental stress; ③ Decrease in exercise; ④ Disease factors include hypertension, diabetes mellitus, heart disease, and, of course, dyslipidemia and other factors. Even if you have these risk factors, it does not mean that you will have a stroke, as long as you follow the doctor's instructions for prevention and treatment, you can reduce the probability of having a stroke.

If you have had a stroke, another point to note is that the recurrence rate of stroke is very high, the 5-year recurrence rate is 30%, and 1/3 of the people are re-hospitalized because of recurrence. In fact, even if the limb recovers after a stroke, the blockage of blood vessels may still exist, so you should follow the doctor's advice and insist on taking the medication.

Most of the patients with brain hemorrhage have high pressure, causing brain out is usually emotional excitement, or joy or anger. Due to emotional fluctuations, causing blood (viscous) flow rate suddenly accelerated, coupled with blood clots in the blood, so that the blood clots flow to the narrowing of the blood vessels when stuck, the blood can not pass through the blood vessels, resulting in a sudden increase in blood vessel pressure rupture formation of cerebral hemorrhage.

If in normal times, if the following conditions, should also attract enough attention, such as: frequent headaches, a sudden black eye, unconscious drooling, oral suddenly crooked, hands and feet suddenly do not listen to the call, one side of the limbs out of the numbness, often sleepy, fatigue, etc. All of these are stroke, of course, also includes the appearance of cerebral hemorrhage before the emergence of a number of signs, should be attracted enough attention to the miasma of the hospital in a timely manner! To avoid serious consequences!