what to do if you have cerebral hemorrhage, brainstem hemorrhage, and coma?

comatose patients with brainstem hemorrhage should undergo rescue treatment. if the bleeding volume is greater than 5 ml, surgical stereotactic hematoma aspiration should be considered. if the ventricle is punctured, ventricular drainage can be performed at the same time. conservative medical treatment can prevent rebleeding, and the risk of rebleeding within 6 hours of onset is high.

1. control blood pressure, with systolic blood pressure within 160mmhg and diastolic blood pressure less than 100mmhg, to avoid further bleeding caused by increased blood pressure.

2. prevent constipation. constipation can increase abdominal pressure. when abdominal pressure increases, intracranial pressure will increase. increased intracranial pressure will lead to further bleeding. therefore, it is important to prevent constipation and endanger the patient's health. for life, give nasal feeding of senna water. in addition, it is necessary to lower intracranial pressure and treat dehydration by giving mannitol and furosemide alternately; to prevent stress ulcers and gastrointestinal bleeding, intravenous infusion of pantoprazole; to prevent lung infection, preventive intravenous antibiotic infusion; and brain protection. treatment includes xingnao intravenous infusion; ecg, blood oxygenation, and blood pressure monitoring; water, electrolyte, and acid-base balance treatment; and prevention of bedsores.