There are mild and severe brain hemorrhages; mild ones can leave no after-effects, while severe ones can lead to immediate death.

A few days ago, a young patient, 29 years old, at home, suddenly comatose, sent to the hospital for a brain hemorrhage, and is a brain stem hemorrhage 10ml, soon after the cardiac and respiratory arrests, and died of resuscitation. Brain stem hemorrhage ah, this is the most dangerous type of brain hemorrhage, even a few milliliters can be very serious, because the brain stem is the human body's life center, control of breathing and heartbeat.

There was also a 60-year-old patient with cerebral hemorrhage who suddenly fainted and collapsed while eating, and when he was sent to the hospital for a cranial CT, he had a cerebral hemorrhage on the left side of the brain in the basal ganglia, with a volume of about 80 ml. The patient continued to be in a coma, and finally suffered from cerebral herniation and brain death, and he stayed in our department for more than 2 weeks, and finally gave up the treatment, and as soon as he was off of the ventilator, he died right away.

But not all brain hemorrhages are so serious. Some brain hemorrhage, as long as it is not a serious part of the hemorrhage, the bleeding is not much, then there may be no obvious sequelae, bleeding at the time may have a headache and other symptoms, but with the treatment of improvement, will gradually recover, as long as no longer continue to bleed, is ah can live a long time. So, how long you can live with a brain hemorrhage depends on which part of the body is bleeding and how much it is bleeding.

(Answer No. 03-20180313) Some brain hemorrhage died within a day or two; some serious delayed five or six days or more than ten days before death; more is the emergence of light or heavy partial paralysis, continue to live for a few years or even more than a dozen years before passing away; there are also the condition of the situation, as usual, their own enjoyable life, enjoying their days and years.

1. The severity of brain hemorrhage determines how long a patient can live

Generally a patient who develops a coma will basically die within 1 week if no treatment is given.

How long a patient with a brain hemorrhage will live depends largely on the severity of the brain hemorrhage, the treatment and care given after the hemorrhage, the age of the patient, and more.

2. Relationship between severity of cerebral hemorrhage and survival time after cerebral hemorrhage

If the bleeding in the brain is really in a critical area, such as the brain stem, then the bleeding, although not much, may be fatal in the short term, and if you survive, you may be left with serious after-effects;

Brain herniation and death may also occur in the short term if there is a lot of bleeding and severe brain destruction;

If the bleeding is small, the bleeding has areas that are not particularly important, and the condition is mild, life expectancy may not be significantly affected with standardized treatment and care.

3. Relationship between treatment and care after cerebral hemorrhage and survival time after cerebral hemorrhage

Giving timely treatment and care after cerebral hemorrhage not only saves lives and reduces mortality, but also promotes recovery and prolongs life.

4. Relationship between patient's age and survival time after cerebral hemorrhage

The older the patient, the shorter the survival time; for example, if an old man in his 90s has a brain hemorrhage, it is basically impossible for him to live to be a hundred years old; on the contrary, if a young man has a brain hemorrhage, his organism's vitality is vigorous, and the possibility of recovery is greater, so that he may be able to live for a long time after he has recovered.

Thanks for the question invitation!

Cerebral hemorrhage is a neurological emergency that is classified as a hemorrhagic stroke. It is a disease in which blood vessels within the skull rupture for various reasons, and blood flows out of the vessels into the brain parenchyma, compressing the nerves and causing necrosis. Cerebral hemorrhage can manifest itself in different ways, and some of them can be life-threatening, so they need to be taken seriously. This question is concerned with the survival of cerebral hemorrhage, which Dr. Elf analyzes and answers below.

On the whole, most people with brain hemorrhage can survive for a long time without life-threatening effects on quality of life, while some people with brain hemorrhage do die within a short period of time. So what are the factors that cause such a big difference in survival after cerebral hemorrhage? The following are some of the factors that contribute to such a wide range of survival after cerebral hemorrhage:

1, the site of bleeding and the amount of bleeding: these factors are related to the acute phase of cerebral hemorrhage death, in general, if the cerebellar hemorrhage, more than 10 ml may be life-threatening, lobular hemorrhage of more than 30 ml will be very dangerous, and brain stem hemorrhage, the mortality rate will be more than 80%, so the disease itself is the most important influencing factors of the survival period;

2、Treatment means: Nowadays, there are different treatments for cerebral hemorrhage, such as conservative treatment, surgical treatment, minimally invasive treatment, etc. Each treatment needs to be taken in conjunction with the patient's actual condition, and matching treatment can save life, while mismatching treatment may be life-threatening;

3, comorbidities and complications: some patients are already suffering from certain diseases, such as: renal insufficiency, cardiovascular disease, etc., and at the same time, some complications will occur after the onset of the disease, such as: stroke-related pneumonia, stress ulcer bleeding, etc., which may lead to life-threatening situations;

4. Rehabilitation: Some patients can get through the acute phase, but do not receive rehabilitation training, so that they are bedridden for a long time to receive care, if the care is not in place may produce a variety of complications, which ultimately lead to life-threatening;

These are a few of the important influences on survival with cerebral hemorrhage, in the actual clinical situation the problem is more complex than these, and it can be said that each person is different, so you can not generalize, you need to analyze the specific problem.

On summer mornings, I sometimes go downstairs for a slow walk and meet a patient like me, who is a few years older than me, and sometimes say a few words.

He said he had been sick for eight years, and I could see that he was in good spirits, and spoke clearly and with a clear mind, and there was one point at which I was again perplexed.

He was in his forties when he got the disease, and according to the current level of medical care, he should have recovered quite well, but he couldn't move his left arm, and he couldn't walk on his legs.

My classmate told me that she had a classmate with the same disease who recovered almost as well as a normal person, so why could he only barely take care of himself?

I thought of Xin's husband again, he had the same disease, he recovered well, I saw him at her son's promotion banquet, no different from normal.

Xin said that when she came home in the evening, he had already made dinner and was able to cook for his mom, and that he had been sick for more than ten years, so it seemed that the brain hemorrhage wasn't very scary anymore.

My mother was 60 years old got a brain hemorrhage, in the conditions at that time, tenaciously insisted on 10 years, they can do things who do not have to, she can cook, laundry, planting vegetables in the father's flat garden, mother with the disease insisted on the diligence, so that the family can still eat beans, eggplants, baby bok choy, corn, chili peppers, my mother is the eternal tear spot in my heart, eternal pain.

Cerebral hemorrhage is one of the more serious types of acute cerebrovascular disease, which is acute, dangerous and highly fatal, and once the disease is not rescued in time, it is likely to be life-threatening. How long can a patient with cerebral hemorrhage live? In fact, there is no uniform answer to this question, we need to analyze the specific situation of each patient, which depends on many factors.

First, the amount and location of bleeding. The most common type of brain hemorrhage is basal ganglia hemorrhage, which may affect the quality of life if rescued in time, but can be survived for a long time. However, bleeding in the brainstem is very dangerous. The brainstem is the center of life, controlling our breathing and heartbeat, and even a very small amount of bleeding can be fatal. Even a very small amount of bleeding can be fatal. The mortality rate for brain stem hemorrhage can be more than 80%.

Secondly, it depends on the patient's own condition and whether there are any comorbidities or complications. For example, whether the patient is of advanced age, has cardiovascular disease, liver and kidney insufficiency and other underlying diseases; in addition, it depends on whether the patient's cerebral hemorrhage is combined with pneumonia, bleeding from ulcers, edema, etc., which will affect the patient's survival time and prognosis of quality of life. For the same cerebral hemorrhage, the survival time or quality of life of patients with advanced age, underlying diseases, and comorbidities will be worse than those without these conditions.

Thirdly, whether to carry out rehabilitation therapy at an early stage. After cerebral hemorrhage, as long as the patient's vital signs are stable and the condition is no longer progressing, it is advisable to carry out rehabilitation therapy as early as possible. Early phased comprehensive rehabilitation therapy is beneficial to restoring patients' neurological function and improving their quality of life.

In summary, it can be seen that each patient's situation is different, and the prognosis is not the same. A uniform answer cannot be given, but the author's three analyses above can be used to comprehensively determine the prognosis and length of survival time of patients. In addition, it is recommended to adopt a healthy lifestyle, combine work and rest, eat a light diet, eat more fresh vegetables and fruits, and soy products in the future daily life; limit alcohol and quit smoking; keep the mood optimistic and avoid emotional excitement; and actively and effectively avoid the risk factors of cerebrovascular disease, in fact, about 75% of the cerebrovascular disease can be controlled. Especially for hypertensive patients, usually must actively control blood pressure, which is also the most important factor to prevent cerebral hemorrhage.

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How long can a patient with a cerebral hemorrhage live? We often hear this phrase, in fact, cerebral hemorrhage is a non-traumatic cerebral blood vessel rupture caused by a kind of disease, this disease occurs most of the people with high blood pressure, high fat blood.

Because in our country there are a lot of people now have cardiovascular disease, cerebral hemorrhage is a more serious cardiovascular disease, once it happens, it will affect our body, there may be a series of sequelae, if not treated in a timely manner, it will die, so this kind of cerebral hemorrhage must pay enough attention to early diagnosis and early treatment, there is more hope for a cure.

1. Cerebral hemorrhage is a serious disease in our life, which we can't anticipate, and it is usually caused by high blood pressure, and we must pay attention to control high blood pressure and other conditions, so that it won't cause cerebral hemorrhage to occur.

2. After a cerebral hemorrhage occurs, it is important to be taken to the hospital for treatment in a timely manner, as this disease can cause some damage to our brain, and once it occurs, it can lead to severe brain damage, causing complications such as hemiplegia.

3. Cerebral hemorrhage is a disease that should be treated as soon as possible once it occurs, and there will be after-effects after treatment, but we must take some measures, such as exercising more to restore limb movement and eating healthier food, in order to regain health as soon as possible.

Most of the outbreaks of this disease are middle-aged and older people, chronically hypertensive, hyperlipidemic, because of poor control of their emotions, but also because of poor health, so such people should be aware that the probability of occurrence is very high.

The effects of sudden fluctuations in a person's blood pressure can be very significant, causing your blood pressure to circulate rapidly, stimulating a tense blood supply to the brain and making it more prone to cerebral hemorrhage, so it's important to keep your blood pressure under control and not too high in normal times, otherwise it can be really dangerous.

(1) Emotional agitation is defined as anger, excitement, anxiety, sadness, fear, dread, and so on.

(2) Poor diet (overeating).

(3) Over-exercise, over-exertion and over-exertion.

(4) Sudden changes in climate, especially during seasons of sudden drops in temperature, increase the incidence of strokes.

(5) Constipation and dryness of the bowels, which must be removed by exertion.

(6) Taking inappropriate antihypertensive medication (e.g., taking antihypertensive medication inappropriately, resulting in blood pressure not dropping or dropping too low).

(7) Sudden sitting up when the elderly get up.

(8) Pregnancy, oral contraceptives.

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Health Advice: Cerebral hemorrhage is a hemorrhagic cerebrovascular disease. Whether or not a patient survives and for how long depends on a variety of factors such as the location of the bleeding, the amount of bleeding and the presence of complications.

Cerebral hemorrhage is a hemorrhagic cerebrovascular disease, a non-traumatic rupture of blood vessels in the brain parenchyma causing bleeding, also known as hemorrhagic stroke, the cause of the onset of cerebral vascular lesions related to the common causes of metabolic diseases (hypertension, etc.) resulting in small arteriosclerosis, and may be related to vascular malformations, hemangiomas and other diseases.

Patients with cerebral hemorrhage often have metabolic underlying diseases, such as hypertension, hyperlipidemia, diabetes mellitus, etc. Sudden onset of the disease due to emotional excitement or strenuous exertion, such as going to the toilet or lifting heavy objects, results in a high early mortality rate, and the survivors are left with varying degrees of functional deficits, such as swallowing deficits, speech deficits, motor deficits, and cognitive deficits.

Whether or not a patient with cerebral hemorrhage can survive and for how long depends on a number of factors such as the location of the bleeding, the amount of bleeding and the presence of complications, etc. If the bleeding site is in the brainstem (the center of life), the amount of bleeding is large, or there is a combination of cardiorespiratory failure, the chances of survival are very small. If the bleeding site is not in the brainstem (vital center), the bleeding volume is small, and there is no combination of cardiopulmonary failure, then the chance of survival is high, because the brain is rich in blood vessels, and can be compensated for, and there will only be varying degrees of dysfunction, such as swallowing disorders, speech disorders, motor disorders, and cognitive disorders.

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(Special reply by Dr. Ouyang of the Department of Emergency Medicine)

1. Basic overview of cerebral hemorrhage

The incidence of cerebral hemorrhage is (60--80)/100,000 per year, accounting for about 20%--30% of stroke patients in China. The incidence of cerebral hemorrhage is lower than cerebral infarction, but its mortality rate is higher than that of cerebral infarction, and the mortality rate of the acute stage can reach 30%--40%. Cerebral hemorrhage is a typical representative of the common high morbidity and mortality of a class of diseases in the clinic and how is the prognosis of the disease?

2. what factors and major causes of death influence the prognosis of cerebral hemorrhage

The prognosis of cerebral hemorrhage is related to the location of the bleeding, the amount of bleeding, the state of consciousness, as well as the presence or absence of complications and whether or not timely treatment has been provided. For example, the prognosis of hemorrhage occurring in the brain stem is extremely poor, because the brain stem is the area where the basic life center of the human body is located, and once a large amount of bleeding occurs, it is easy to form a brain hernia, and thus many patients have died before they receive treatment; while hemorrhage occurring in the cerebral hemisphere will cause the corresponding functional deficits, and the mortality rate is relatively low. The main causes of death in cerebral hemorrhage are cerebral edema, increased intracranial pressure, and brain herniation.

3. What is the prognosis?

Cerebral hemorrhage in general has a poor prognosis, with an acute mortality rate of 30-40%, characterized by a high incidence and high mortality rate, especially for massive hemorrhage occurring in the brainstem, thalamus, and ventricles, where the prognosis is even worse. However, unlike cerebral infarction, many patients with cerebral hemorrhage that occurs in non-fatal areas recover from severe neurological dysfunction to a better extent than those with cerebral infarction. For example, hemiparesis and speech disorders caused by cerebral hemorrhage can be recovered gradually after active treatment and rehabilitation training.

4. How high is the risk of reissuing blood in patients with cerebral hemorrhage?

The annual recurrence rate for the occurrence of rebleeding is about 2% if effectively treated and if the subsequent diet and control of the underlying disease are done well, except in the presence of vascular malformations.

Don't be pessimistic about having a brain hemorrhage, many of our patients here are recovering well. Remember.My first patient., 82 years old, brain hemorrhage, post-surgery patient, came in, couldn't move at all, couldn't urinate or defecate, pooped on the bed, and I thought at the time that his recovery was definitely not going to be good.

However, when he came to our department, his hands and feet were lifted up, he could walk, and he could talk about his bowel movements. In less than three months, he had really recovered well. Later, after working for a long time, I found that patients with cerebral hemorrhage recovered better than those with cerebral infarction.

As for how long you'll live, it's different for everyone.I have a patient on my hands who had a brain hemorrhage 20 years ago, so how long you live depends on how well you maintain the back end, and this patient comes in regularly for physicals and rehabilitation, and his blood pressure is well controlled.

It's got to be good.Treatment of basic diseases, preventing reoccurrences because the risk of a second or third attack is generally worse than the first, and many people who have little or no after-effects the first time are prone to after-effects later.

How long can a patient with a brain hemorrhage live? It depends on the specific situation.

CT and MRI had not yet been introduced into the country, and many patients with hypertension went to their deaths in their sleep. In those days, people reached the end of their life expectancy at the age of 50 or 60.

Since the popularization of CT, RMI and other examination machines, the clinic has a clearer understanding of the specific structure of the brain. In particular, the specific location of brain hemorrhage, the amount of bleeding, and the clinical manifestations have been mastered in detail. It is more traceable in surgical treatment.

As a life-saving procedure, head CT is convenient for determining brain hemorrhage. And as the bleeding area expands and the bleeding time is prolonged, it can be life-threatening at any time. So, it is also very crucial to have the appropriate neurosurgeon.

A case of an elementary school student with ruptured cerebral vascular malformation and hemorrhage, sudden dizziness and impaired consciousness without any signs, died soon after the diagnosis was confirmed by cranial CT.

A case of a young and strong foreigner who had a sudden and intense headache on the highway and was urgently transferred to the nearest local hospital to confirm the diagnosis of cerebral hemorrhage and emergency surgical treatment.

Hypertensive cerebral hemorrhage does not bleed a lot if the blood pressure is controlled in time, and there are usually limb-verbal complications that do not and are not likely to lead to death. This depends on the availability of CT machines and the clinical experience of neurosurgeons.

There is nothing more sinister than a brain stem hemorrhage, which is particularly deadly and also quickly played out.

Respect life and take care of your health. Respecting your doctor is respecting your life and health and that of your family. Survival rates after brain hemorrhage are optimistic based on current technology.