脑出血cerabral_haemorrhage.pptVIP

Cerebral Haemorrahge Introduction Introduction Clinical manifestation Prodromal stage Clinical symptoms Putamen-capsula interna haemorrhage the opposite side of bleeding lesion often appears hemiplegia, hemidysesthesia and hemianopsia, etc Three partial syndrome left putamen haemorrhage high density lesions capsula interna haemorrhage thalamic hemorrhage Lobar hemorrhage 意识障碍少而轻 cerebellar hemorrhage cerebellar hemorrhage Primary brain stem hemorrhage ventricular hemorrhage ventricular hemorrhage Diagnosis Diagnosis differential diagnosis assistant examination go to the ward Rescue Medical Treatment Special treatment Emergency operation related factors Emergency operation neuroendoscopy Minimally invasive catheter drainage craniotomy---- evacuation of hematoma craniotomy---- evacuation of hematoma craniotomy---- evacuation of hematoma craniotomy---- evacuation of hematoma before surgery after surgery Complications Emergent Treatment timely clear oral and respiratory secretion tracheotomy artificial ventilation when necessary Maintain life indications 1 Hemostasis and prevent rehaemorrhagia 2 Reduce and control cerebral edema 3 Prevent and treat all complications 4 deal with acute phase blood pressure control cerebral edema, reduce intracranial pressure application of hemostatic drugs cerebral protective agent and cryogenic treatment special treatment Putaminal Hemorrhage＞30ml、thalamic hemorrhage ＞14ml、Cerebellar hemisphere bleeding＞15ml bleeding amount,location, time between bleeding and operation,age and general condition of the patient experience of the operator method neuroendoscopy Stereospecific suction technique catheter drainage craniotomy before surgery after surgery 1 w after surgery 1 y after surgery before surgery * * * * It refers to hemorrhage in brain parenchyma or ventricle caused by cerebral artery, vein or capillary fracture, artery rupture hemorrhage is the most common. Primary parenchymal hemorrhage Accounting for