脑出血(ich)的诊断与治疗常规（Diagnosis and treatment of intracerebral hemorrhage (ICH)）.docVIP

脑出血(ich)的诊断与治疗常规（Diagnosis and treatment of intracerebral hemorrhage (ICH)） Diagnosis and treatment of intracerebral hemorrhage (ICH) ? I. diagnosis A sudden attack of physical activity or emotional agitation. Episodes of recurrent vomiting, headaches, and elevated blood pressure Whats happening? The disease is progressing rapidly, often with consciousness disorders, hemiplegia, and other neurological focal symptoms. How many? Have a history of hypertension?. Cranial CT examination can provide direct evidence of cerebral hemorrhage. ? Two: differential diagnosis When CT examination is performed without qualification, it should be differentiated from cerebral infarction. The???? on a sudden onset, rapid coma and focal signs were not obvious, and should pay attention to systemic coma caused by poisoning (alcohol, drugs, carbon monoxide) and metabolic diseases (diabetes, hypoglycemia, hepatic coma, uremia) identification, medical history and related laboratory examination can provide diagnostic clues, head CT no hemorrhagic change; 3. Traumatic head haematoma, have traumatic history more, the haematoma can be found on skull CT; The???? bleeding in the putamen, globus pallidus, thalamus, capsule, periventricular deep white matter, pons, cerebellum, if the disease hypertension before, basically can be diagnosed as hypertensive cerebral hemorrhage; the elderly lobar hemorrhage without hypertension and other reasons for amyloid cerebrovascular disease caused by; blood disease and anticoagulant and thrombolytic treatment caused by hemorrhage often have a corresponding history or history of treatment; tumor, aneurysm, arteriovenous malformation caused by brain CT, MRI, MRA, and DSA often check the corresponding performance is often found that tumor apoplexy in acute exacerbation of chronic course. Three: the treatment adopts the positive and reasonable treatment to save the patients life, reduce the nerve function disability degree and reduce the recurrence rate. 1.. Medical