how to treat cerebral hemorrhage and coma caused by high blood pressure?

  • 2025-08-20
  • Dr. Xiao
  • 283

高血压引起脑出血昏迷该如何治疗

for comatose patients with cerebral hemorrhage caused by high blood pressure, they need to race against time to perform craniotomy to treat them. during craniotomy, craniectomy is performed to decompress, remove hematoma, and reduce intracranial pressure. after the operation, changes in the condition and changes in intracranial pressure must be closely observed. , did any complications occur. most of the bleeding locations of hypertensive cerebral hemorrhage are located in the thalamus and basal ganglia. the thalamus and basal ganglia are the areas where many nerve nuclei and nerve conduction bundles are concentrated. therefore, there is bleeding, hematoma compression or blood clot decomposition products, stimulating nerve function. injury may result in disturbance of consciousness, coma or even dilated pupils, leading to cerebral herniation. after the acute phase is over, recovery treatment is required. rehabilitation treatment for coma due to hypertensive cerebral hemorrhage requires specific analysis of specific patients. some have tracheostomy and some have pulmonary infection. the specific situation is determined according to the patient's condition. it mainly includes the following aspects:

1. hyperbaric oxygen therapy: part of the brain cells can be restored through hyperbaric oxygen chamber therapy;

2. stimulation treatments, such as sound stimulation, electrical stimulation, and dbs treatment;

3. functional exercise, through active or passive functional exercise, prevents muscle atrophy and restores limb function;

4. neurotrophic drugs, such asdeveloped by professor xiao huanerve recanalization oral liquid is of great help to patients' functional recovery.

through these methods, some coma patients with cerebral hemorrhage can become fully conscious.

(warm reminder: medical science sharing. this content does not represent face-to-face consultation. if you feel unwell, please seek medical treatment as soon as possible.)

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