Severity of operation for cerebral hemorrhage

1.

Bleeding site: surgery is the first choice for superficial bleeding, such as subcortical, putamen (outer capsule) and cerebellar hemorrhage.

2.

Hemorrhage: Generally, cerebral hemisphere hemorrhage is greater than 50ML, and cerebellar hemorrhage is greater than 10ML, indicating operation.

3. Consciousness disorder: conscious patients do not consider surgery. Patients with mild disturbance of consciousness after onset and then gradually deepening, and patients with moderate disturbance of consciousness at the time of seeing a doctor should be actively treated by surgery.

Operating time; Early or ultra-early surgery (within 6 hours) is very important to relieve intracranial hypertension, reduce the oppression of hematoma on surrounding brain tissue, and improve the cure rate and quality of life.

Surgical methods:

1. craniotomy hematoma removal. The operation is traumatic and requires general anesthesia. Its advantage is that it can completely remove hematoma under direct vision. At present, craniotomy is mostly used for patients with deep bleeding site, large amount of bleeding and serious midline displacement. In addition, this method is also advocated for small cerebral hemorrhage to achieve the purpose of rapid decompression.

2. Hematoma puncture and aspiration. Using CT-guided or stereotactic technology to accurately place the puncture needle or suction tube in the center of hematoma can prevent the damage to surrounding tissues during hematoma aspiration. This method is suitable for bleeding in all parts, especially deep hematoma, such as thalamic hemorrhage, which is the most suitable. But this method can't stop bleeding, so it can only be done without active bleeding. Moreover, the clearance rate of hematoma by one puncture is 65%-75%. Because this method can't extract the hematoma at one time, patients with large bleeding should take corresponding measures in time when the puncture effect is not obvious.

Surgical contraindications:

1.

After bleeding, the condition progressed rapidly and he fell into a deep coma in a short time.

2.

After the onset, the blood pressure was high, ≥ 200/ 1.20 mmHg, and there was fundus hemorrhage. Before the onset, the heart, lung and kidney functions were seriously impaired.

3.

In the late stage of cerebral hernia, both pupils are dilated.

4.

Brain stem bleeding. /print.asp？ articleid=40 18

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Now you'd better actively cooperate with the doctor and don't think about anything else, which is in the best interest of your father's illness.

I wish your father a speedy recovery!