[Professional doctor to answer your questions

Figuratively speaking, how a water pipe breaks is how a brain hemorrhage occurs, and there are several possible causes of water pipe breaks:

The quality of the water pipe is not good when it is produced, for example, the thickness of the pipe wall is not uniform somewhere, there are small weak spots, when the water flows through, especially when the water pressure suddenly increases, the weak spots are raised with the increase of water pressure, and rupture occurs when it cannot withstand the water pressure. Some people may be born with cerebral hemangioma, just like the water pipe has a weak spot, which may lead to cerebral hemorrhage at any time due to the sudden increase of blood pressure.

The water pipe connection is not solid, long-term water flow pressure generated by the impact of the break is not solid, so that the degree of solidity of the further decline, when the water pressure suddenly increased, these are not solid that may occur at the rupture. Human blood vessels have a lot of bifurcation, each bifurcation relative to the blood vessels will follow the greater blood pressure, blood pressure suddenly increased when the impact is easy to rupture.

Water pipe aging occurs over time, the wall of the pipe will naturally age over time, if the water in which there are too many impurities or corrosive substances, the water pipe will produce erosion and lead to a decline in the degree of solidity of the pipe wall, the water pressure increases that will occur when the rupture. The endothelium of blood vessels by diabetes, high blood sugar, high blood pressure and other violations will occur damage, fat in the blood will be deposited on the cause of inflammation, rupture of the structure of blood vessels, affecting the normal function of the blood vessels, become both "hard" and uneven, the ability to withstand blood pressure decreases, when the blood pressure suddenly rises, that is, rupture will occur.

In the above cases, the first two are mostly congenital diseases, which are relatively rare, while the third is the most common, which is the main reason for the occurrence of cerebral hemorrhage seen in the clinic, and the pathological basis of which is atherosclerosis and plaque formation, and there is a gradual process of the formation of such a lesion, in which the human body may not have any symptomatic manifestations known to the public, but the lesion is severe to a certain extent, and the body encounters emergencies, such as Emotional excitement, lifting heavy objects, forceful holding of breath to defecate rows, therefore, to prevent the occurrence of cerebral hemorrhage, it is necessary to pay attention to the removal of factors that lead to atherosclerosis, which can be achieved through the control of the following indicators, for example:

• Fasting blood glucose should be kept below 6.1 mmol/L

• Blood glucose should be controlled below 7.8 mmol/L at 2 hours after a meal

• The optimal level of blood pressure is below 120/80 mmHg, and should be controlled at least below 140/90 mmHg

• LDL should be controlled at least below 3.37 mmol/L, below 2.6 mmol/L for chronic diseases such as diabetes and hypertension, and below 1.8 mmol/L for cardiovascular diseases.

• Quit smoking and limit alcohol, smoking has a hundred harms but no good, the damage to blood vessels is very big; drinking alcohol is also a very dangerous factor, it is best not to drink, even if the amount of alcohol should be controlled by 25 grams of alcohol / day below for men, women should be controlled at 15 grams / day below.

• Exercise consistently, with 30 minutes of sustained sweating exercise per day

• In accordance with the work and rest does not stay up late, irregular life will disrupt the body's normal physiological rhythms, especially stay up late so that the blood vessels should be rested at night is always in a state of excitement, which in the long run will cause damage to blood vessels

Every New Year's Eve, many people's lifestyles will change, such as long hours of mahjong overworked, a large number of alcohol, friends and family reunion too excited, etc. may induce cerebral hemorrhage, especially with high blood pressure, diabetes, the risk is greater, be sure to arrange their own life, take their medication on time, and more testing of blood pressure, blood glucose, to avoid the occurrence of serious consequences.

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The most common causes of cerebral congestion (that is, cerebral hemorrhage) are atherosclerosis, hypertension, where a sudden rise in blood pressure causes a rupture of a blood vessel in the brain, which can lead to cerebral hemorrhage, and also rupture of a cerebral aneurysm. Cerebral aneurysms are usually congenital disorders, and their rupture can lead to subarachnoid hemorrhage. There are also microaneurysms, which are also a cause of cerebral hemorrhage.

Cerebral hemorrhage is a disease that should be given high priority, once the onset of the disease should be diagnosed in a timely manner, to determine what kind of cause, how much bleeding, where the bleeding site for reasonable diagnosis and treatment.

The precursors of cerebral hemorrhage are as follows: 1. The patient will feel obvious dizziness, headache and other sensations, and blurred vision, up and down, and in severe cases even fainting, coma and other phenomena. 2. The patient's mood fluctuates dramatically, and is accompanied by severe head pain. 3. The patient has a strong sense of vomiting, and is accompanied by the phenomenon of elevated blood pressure, and consciousness begins to blur in a short period of time. 4. These are the precursors of cerebral hemorrhage. These are the precursors of cerebral hemorrhage, and it is recommended that the patient be placed in a flat position after the onset of the disease and sent to the hospital in a timely manner for medical treatment.

Patients with cerebral hemorrhage should pay attention to maintain stable blood pressure, control their blood sugar and blood fat, and actively treat heart disease. At the same time, they should quit smoking and drinking, rationalize their work, pay attention to more rest, and avoid excessive fatigue. You can do some exercise, such as jogging, playing tai chi, etc., usually eat a light diet, avoid eating spicy and stimulating food as well as indigestible food, eat more fresh vegetables and fruits. When going out in cold weather, you should wear a good hat, scarf, mask, etc., so as not to catch a cold in the head and neck, causing the onset of the disease.

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Dr. Wang is a cardiologist who deals with blood clots all the time, and his biggest fear is bleeding! There would be no way to get it! It's tricky! He's afraid of bleeding in the brain and stomach, but at least bleeding from the teeth and eyes isn't so scary.

So how does a brain hemorrhage get caused?

Cerebral hemorrhage is defined as bleeding caused by the rupture of a blood vessel within the brain parenchyma that is non-traumatic.80% of all brain hemorrhages are caused by high blood pressureIn China, the rate of blood pressure control and awareness is extremely low, resulting in a high probability of stroke. High blood pressure can cause small arterial sclerosis, which is more fragile when it occurs, coupled with microaneurysm formation in small cerebral arteries in the case of long-term high blood pressure.

In addition to high blood pressure.There are also cerebral vascular malformations, arteritis, etc. that can lead to cerebral vascular abnormalitiesThe aneurysm may rupture and cause bleeding. Aneurysm rupture leads to hemorrhage when triggered by vasospasm, pressure fluctuations in the lumen of the blood vessel such as emotional stress, excessive force, and poor rest.

What are the symptoms of a brain hemorrhage?

There is usually headache, nausea, vomiting, and elevated blood pressure. Note the differentiation from cerebral infarction, and the specificity of cranial CT in diagnosing cerebral hemorrhage is 100%.

So how are brain hemorrhages treated?

1. The main purpose is to lower the cranial pressure by dehydration, adjust the blood pressure, prevent further bleeding, and maintain vital functions. A small amount of bleeding can be treated conservatively.

2、If there is a lot of bleeding, there can be debridement with bone flap decompression, small bone window craniotomy hematoma removal, drilling puncture hematoma fragmentation and aspiration, endoscopic hematoma removal, minimally invasive puncture hematoma removal and ventricular puncture and drainage, and so on.

The acute stage of cerebral hemorrhage mortality rate is 30% to 40%, which is also closely related to vascular lesions caused by hyperlipidemia, diabetes mellitus, hypertension, aging of blood vessels, smoking, and so on.

Patients with cerebral hemorrhage often have a sudden onset of symptoms due to emotional stress and exertion, with a high early mortality rate, and most survivors are left with varying degrees of motor deficits, cognitive deficits, speech and swallowing disorders, and other sequelae.

Therefore, improving lifestyle habits, actively controlling blood pressure, and quitting smoking and drinking are not only appropriate for the heart, but also for brain hemorrhage!

Cerebral hemorrhage refers to bleeding caused by rupture of cerebral blood vessels due to non-traumatic injury, the incidence of which accounts for 20%-30% of strokes, but the mortality and disability rates are higher. So how is cerebral hemorrhage caused?

According to the causes of cerebral hemorrhage, it can be classified as hypertensive, aneurysm rupture, vascular malformation, smoky disease, amyloidosis, and post-infarction. The most common clinical condition is hypertensive cerebral hemorrhage. The disease occurs in the age group of 50-70 years old and is more likely to occur in men than in women. Hypertension accelerates atherosclerosis and decreases the elasticity of blood vessels, and blood vessels can easily rupture when triggered by emotional stress, forced defecation, and coughing, etc. The most vulnerable clinical lesion is the bean artery. Aneurysm rupture cerebral hemorrhage is due to the arteries in the brain in the sclerosis, injury, infection and other reasons based on the arterial wall of the arteries to appear limited or diffuse expansion, bulging, in some causes of the sudden rupture of the hemorrhage, usually occurs in the bifurcation of the cerebral base of the vascular ring, clinically manifested as a severe headache. (iii) Cerebral hemorrhage due to vascular malformation. This may be caused by congenital or acquired vascular development abnormality, mostly seen in young people, 20-40 years old, manifested as throbbing headache, epilepsy and so on. ④ Smokey's disease cerebral hemorrhage is a rare disease in clinic, but its treatment is more troublesome, mainly due to cerebral vascular stenosis and occlusion, often repeated cerebral infarction and cerebral hemorrhage. ⑤ Amyloidosis cerebral hemorrhage is a unique disease of the elderly, and its bleeding location often occurs in the occipital lobe and temporal lobe of the brain. (6) Post-infarction cerebral hemorrhage is caused by secondary hemorrhage in the original infarcted area after blood flow is restored to the blood vessels damaged by the previous infarction.

There are many types of brain hemorrhage, but most of them are still related to vascular lesions, making it imperative to protect the blood vessels.

Answer: Xue Liyuan, M.S., M.S.

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Figuring this out requires first understanding what tissues of the body blood is normally in? Blood is actually stored and transported by the heart and blood vessels to form a flow, so the blood vessels are the home of blood. This system is very similar to the tap water system, the water in this system is the equivalent of blood and the plumbing is the equivalent of the blood vessels, as you can see, if the pipes are frozen and cracked in the winter, the water leaks out and can be called a leak. If, on the other hand, blood runs out of the blood vessels, it is called bleeding. So the question is, how does it run out? That's right, it's when a blood vessel breaks and the blood goes out. Let's also take the example of a water pipe, what happens when it leaks, high water pressure, thin, broken walls of the water pipe, physical factors that damage the water pipe, chemical corrosion, and it can even be biological damage. Blood vessels are the same, a variety of nutrients, metabolites, good and bad things things need blood vessel transportation, time, blockage, damage is inevitable, such as blood vessel wall thickening but poor elasticity leading to increased resistance to blood flow blood pressure, lipids run to the blood vessel wall atherosclerosis to come, high blood glucose blood vessel wall damage leading to diabetic vasculopathy, if the blood vessel wall of the lesion is slowly and seriously, the There will be a rupture of the blood vessel wall, broken, blood run to the outside of the blood vessel is called bleeding.

Brain tissue has very rich blood vessels, the above problems can appear in the cerebral blood vessels, so you ask the cerebral hemorrhage is the short form of cerebral vascular hemorrhage, often refers to hypertension cerebral hemorrhage, cerebral vascular atherosclerosis blood vessel rupture and bleeding, the patient in these cases also has a high incidence of diabetes mellitus complications. Of course, this is not all the causes of cerebral hemorrhage, other factors such as cerebral vascular malformation, trauma and other factors are also causes of cerebral hemorrhage.

We often see TV dramas and other film and television work will be shown this way when the old man is particularly angry and excited, suddenly fainted, did not rescue, or rescued but paralyzed paraplegia. The reason behind this story is generally cerebral hemorrhage, and finally if the paralysis is known as hemorrhagic stroke, brain tissue is located in the skull cavity composed of skull bones, once bleeding, this crusty cranial cavity is limited, it will compress the normal brain tissue, resulting in ischemia and hypoxia, and endangering life. Trace the medical history, generally the elderly will have a very long history of hypertension, atherosclerosis and diabetes mellitus, imagine the elderly at this point in time the blood vessels are very fragile, if encountered with a sudden rise in blood pressure, the walls of the blood vessels can not hold out, it broke, bleeding, so the above diseases is a time bomb, must be extremely avoided to induce the emergence of sudden rise in blood pressure of various factors. If the disease has occurred, should be active and standardized antihypertensive treatment, control of blood lipids to stabilize vascular plaque, and actively intervene in hyperglycemia.

In fact, whether it is high blood pressure, high blood cholesterol or high blood sugar are preventable diseases, in the early stages of the onset of the positive changes in lifestyle, quit smoking, alcohol and sugar restrictions will effectively reduce the occurrence and development of the disease, it will not be developed to the cerebral hemorrhage such an unmanageable result, so cerebral hemorrhage occurs is really scary, the most important thing we should do is to think of a way not to let him happen, to advocate healthy lifestyles is the The best solution is to promote a healthy lifestyle.

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Cerebral hemorrhage is the first disease with the highest disability rate in China, and cardiovascular and cerebrovascular disease is the disease with the highest death and disability rate in China. And the age of onset of cerebral hemorrhage is getting lower and lower, at present, there are a large number of people who have cerebral hemorrhage in their forties. Today I would like to introduce to you the main causes of cerebral hemorrhage and possible ways to prevent it.

There are many causes of cerebral hemorrhage, the main ones being the following

First, hypertensive cerebral hemorrhage

This is the most common cause, the onset of the population is mainly over 50 years of age of patients with high blood pressure. The sudden rise in blood pressure due to emotional excitement and other reasons causes blood vessel wall rupture and bleeding.

The prevention of this type of cerebral hemorrhage is as follows

1. Patients with hypertension should take regular antihypertensive drugs to keep their blood pressure at a normal level

2. Avoid emotional excitement, staying up late and overworking, otherwise it is easy to cause a sudden surge in blood pressure, causing cerebral hemorrhage

Second, bleeding caused by cerebrovascular malformation

For example, the most common rupture of cerebral aneurysms, cavernous hemangioma rupture, arteriovenous malformation rupture bleeding. This category of patients often usually have no symptoms at all, and the age of onset is very young, it is difficult to prevent, and a bleeding consequences are very serious, many are dead. It is an important cause of sudden death in young and middle-aged people.

Prevention is difficult and can only be pinned on medical checkups (or surgery after detection at the hospital due to chronic headaches, etc.).

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Cerebral hemorrhage is an important disease of the brain, and is sometimes the main cause of death and disability of cerebrovascular disease, then cerebral hemorrhage is caused by those factors?

1, hypertensive cerebral hemorrhage, is currently the main cause of cerebral hemorrhage, is generally a very serious complication of hypertension, long-term high blood pressure, especially poorly controlled high blood pressure, generally patients have vascular sclerosis, in the case of emotional excitement, external stimuli, such as staying up all night, smoking and drinking, resulting in a sudden rise in blood pressure, resulting in cerebral vascular rupture, which will lead to rupture of the blood vessels and cerebral hemorrhage.

2, traumatic cerebral hemorrhage, many patients with traumatic brain injury, resulting in cerebral blood vessel rupture, some intracerebral hemorrhage, some subdural hemorrhage, some subarachnoid hemorrhage.

3, cerebral aneurysm rupture, generally cerebral arteries on the blood vessels appear aneurysm-like expansion, some in the case of external stimulation, a small portion of no stimulation of the case, this aneurysm rupture, resulting in patients with subarachnoid hemorrhage in the brain, generally such patients with severe headache.

4, cerebrovascular malformation, that is, vascular malformation in the brain, such as intracerebral arteriovenous malformation, smoky disease, etc. This will easily lead to intracerebral hemorrhage.

5. Other causes of brain hemorrhage, such as encephalitis and rupture of brain tumors.

These are some of the current causes of cerebral hemorrhage, of which the most important cause is still cerebral hemorrhage caused by high blood pressure, accounting for more than 60% of all cerebral hemorrhage.

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Cerebral hemorrhage is now one of the leading causes of death and disability in our population. Cerebral hemorrhage can be caused by a variety of factors, including hypertension, cerebral arteriovenous malformations, aneurysms, brain tumors, cerebral amyloid angiodysplasia, coagulation disorders, use of antithrombotic or antiplatelet medications, smokers' disease, and venous sinus thrombosis.

Bleeding with a clear cause is called secondary cerebral hemorrhage, while bleeding with no known cause is called primary cerebral hemorrhage. Hypertensive cerebral hemorrhage accounts for about 80% of all primary cerebral hemorrhages. Hypertensive cerebral hemorrhage also accounts for the majority of all cerebral hemorrhage patients. Therefore, we sometimes call this primary brain hemorrhage: hypertensive brain hemorrhage.

That is to say, in addition to secondary cerebral hemorrhage patients, hypertensive cerebral hemorrhage accounts for a large portion of hypertensive cerebral hemorrhage, and hypertensive cerebral hemorrhage can be prevented by our patients, due to the lack of knowledge related to hypertension as well as poor popularization, which leads to the people's lack of awareness of the high blood pressure, and accelerates the risk of cerebral hemorrhage of hypertensive patients.

Long-term unstable blood pressure control, great fluctuation, or long-term blood pressure has been in the high line, or blood pressure suddenly spikes can cause the patient's cerebral blood vessels to rupture and cause cerebral hemorrhage. Especially for the elderly, the elasticity of blood vessels is not good, the brittleness of blood vessels is very big, and the fluctuation of blood pressure will have a great impact on blood vessels. Even now, due to the rejuvenation of hypertension, there are many cases of cerebral hemorrhage in patients in their 30s, who are often overweight and chronically hypertensive. So for hypertensive patients, it is important to keep blood pressure under control to prevent fluctuations as well as sudden spikes.

Cerebral hemorrhage caused by arteriovenous malformation, aneurysm, brain tumor, cerebral amyloid degeneration, coagulation dysfunction and so on are very difficult to be prevented by human factors. However, hypertensive cerebral hemorrhage can be prevented through blood pressure control. As a medical institution, both pharmacists and doctors should enhance the awareness of the grassroots about hypertension, so that the controllable factors can be controlled.

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Brain hemorrhage is also one of the common clinical types of stroke, and with the increase in people with high blood pressure, it seems that there are more and more brain hemorrhages around! So what are the causes of brain hemorrhage?

I. Hypertensive cerebral hemorrhage

Hypertensive brain hemorrhage, which accounts for the majority of brain hemorrhages, is one of the most common causes of brain hemorrhage! The majority of hypertensive brain hemorrhages are related to failure to control blood pressure and aging of the arteries!

II. Cerebral vascular malformation cerebral hemorrhage

There are also many types of cerebral vascular malformations, but the more common ones are cerebral aneurysmal malformations, and ruptured cerebral aneurysms with hemorrhage are very common in the clinic! Next to cerebral vascular malformations there are vascular anomalies such as smokers' disease! Among subarachnoid hemorrhages, cerebral aneurysms are the most likely!

III. Traumatic cerebral hemorrhage

Post-traumatic cerebral hemorrhage, which also has a place in neurosurgery, is also more common in traumatic injuries, regardless of the cause, that result in hemorrhage from external forces on the brain parenchyma!

IV. Other causes of cerebral hemorrhage

There are other causes of cerebral hemorrhage. In addition to the first three causes, there are other factors such as hemorrhage caused by brain tumors, hemorrhage caused by arteritis, hemorrhage caused after cerebral infarction, hemorrhage caused by medications, and hemorrhage caused by disorders such as abnormalities of the clotting mechanism, and so on!

The most critical aspect of cerebral hemorrhage is also early prevention and treatment, such as timely surgery if necessary, which can reduce the mortality rate of cerebral hemorrhage! But the most critical thing is still - control the blood pressure! After all, high blood pressure causes the majority of brain hemorrhages!

Cerebral hemorrhage is a condition that occurs when a blood vessel in the skull cracks and blood enters the brain.

A common cause of cerebral hemorrhage is atherosclerosis of the small arteries in the brain due to chronic high blood pressure, which we usually call hypertensive cerebral hemorrhage, and is a category of major causes that most of us are more familiar with.

Second, amyloidosis of the cerebral blood vessels as we age is also partly to blame. The increased fragility of blood vessels with age increases the likelihood of cerebral hemorrhage.

Third, aneurysms, intracranial vascular malformations. This type of cause of bleeding is less common than the first two. It is also a cause of cerebral hemorrhage.

Fourth, anticoagulation, thrombolytic therapy, such as cerebral infarction, myocardial infarction in the early stage need anticoagulation, thrombolytic therapy. The risk of these drugs is bleeding, including cerebral hemorrhage, gastrointestinal bleeding, etc., so the older elderly is also one of the contraindications to thrombolysis.

Fifth, hematologic diseases, tumors, etc. Some hematologic diseases, such as leukemia, cause extremely low platelets and have a great tendency to bleed. Some intracranial tumors also have the same possibility of causing intracranial hemorrhage.

There are many causes of brain hemorrhage, and the common ones are the ones listed above, so I hope you find them helpful.