a brief discussion on the mortality rate of hypertensive cerebral hemorrhage

nowadays, the number of patients with hypertension is increasing and is on the rise. do you know that the mortality rate of hypertensive cerebral hemorrhage is relatively high? the mortality rate of patients in the acute phase of cerebral hemorrhage can reach 30%-40%, and the mortality rate within 30 days of onset can reach 35%-52%. 70% of cerebral hemorrhage is related to hypertension. although it only accounts for 20%-30% of all strokes, the mortality rate is much higher than that of cerebral infarction.

cerebral edema, increased intracranial pressure, and cerebral herniation are the main causes of death in the acute phase. the mortality rate is related to age, amount of bleeding, location of bleeding, whether consciousness is clear, and whether there are comorbidities. generally, the prognosis of brainstem hemorrhage, thalamic hemorrhage, and massive intraventricular hemorrhage is poor, and the mortality rate is also relatively high. the mortality rate in the early recovery period is often related to the complications and complications after cerebral hemorrhage, such as heart failure, arrhythmia, etc., and the mortality rate is relatively high. if a patient with diabetes gets a lung infection, it is not easy to recover. it can cause respiratory failure and a high mortality rate. if the original digestive tract disease causes stress ulcers and massive bleeding, the mortality rate will also increase. in addition, due to dysphagia, the inability to eat and drink normally, and electrolyte imbalance are also causes of death.

the chinese cerebral hemorrhage guidelines point out that 20% of cerebral hemorrhage patients have a relatively low rate of regaining the ability to take care of themselves within 6 months, placing a heavy burden on society and families. in recent years, through interventional therapy, neurosurgery, surgical decompression and other treatments, patients can go to the rehabilitation department for standardized rehabilitation treatment at an early stage after their condition is stable, and the number of patients who have regained their ability to take care of themselves has increased significantly than before.

(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.)