How to treat cerebral hemorrhage?

Written by Liu Yan Hao
Neurology
Updated on May 24, 2025
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The treatment of cerebral hemorrhage is a comprehensive approach. During the acute phase of cerebral hemorrhage, it is necessary to use some dehydrating and intracranial pressure-lowering drugs to alleviate brain cell edema and prevent the formation of brain herniation, reducing damage to brain cells. Additionally, drugs that eliminate free radicals should be used. During the acute phase, hemostatic drugs can also be used appropriately. Moreover, the most common cause of cerebral hemorrhage is hypertension, so the treatment of cerebral hemorrhage primarily involves stable control of blood pressure, as well as drugs that nourish the nerves, promoting the recovery of damaged brain and nerve cells. Other treatments include the prevention and management of complications such as using anti-infective drugs for concurrent pulmonary infections; for associated gastrointestinal stress ulcers and bleeding, drugs that suppress gastric acid secretion and protect the gastric mucosa along with hemostatic drugs are used, followed by active rehabilitation exercises once the condition is stabilized. Thus, the treatment of cerebral hemorrhage is comprehensive and needs to consider multiple aspects. (Please use medication under the guidance of a professional physician, and do not medicate blindly.)

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Sequelae of cerebral hemorrhage

The most common sequelae of cerebral hemorrhage is hemiplegia, which is specifically characterized by reduced muscle strength in the limbs on one side, difficulty in movement or complete immobility, often accompanied by sensory impairments on the same side, such as reduced sensation to cold, heat, pain, etc., or complete numbness. Sometimes there may also be vision loss on the affected side, as well as aphasia, headache, vertigo, and nausea.

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What are the symptoms of cerebral hemorrhage?

Patients with cerebral hemorrhage typically experience sudden headaches during physical activity or emotional excitation as their initial symptom, which may be accompanied by nausea and vomiting. In severe cases, vomiting can be projectile, consisting of stomach contents. If the patient has stress ulcers leading to bleeding and erosion of the gastric mucosa, they may vomit a coffee-ground-like liquid, which is a mixture of gastric juices and blood. Additionally, patients may also exhibit disturbances in consciousness, such as drowsiness, stupor, or even coma. If the patient is conscious, one may observe hemiplegia or paralysis, sometimes accompanied by speech impairments or psychiatric symptoms. Some patients may also experience epileptic seizures.

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Symptoms of cerebral hemorrhage

For patients with cerebral hemorrhage, the specific symptoms that appear depend on the location and amount of the bleed. For example, if the bleeding is in an important area for motor function, such as bilateral bleeding in the basal ganglia region, it often leads to contralateral hemiplegia in the patient, and is likely to be accompanied by abnormal sensations in the affected limbs. Additionally, if the bleeding is located in the language function area, the patient may exhibit impaired language functions, such as speech disorders, slurred speech, and difficulty speaking. Furthermore, conditions such as anomia, motor aphasia, or mixed aphasia may also occur.

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What should be done about cerebral hemorrhage?

Cerebral hemorrhage is a relatively serious disease. After a cerebral hemorrhage occurs, patients usually experience noticeable headaches, nausea, and vomiting. The onset is relatively rapid, and it may present clinical symptoms such as slurred speech, deviation of the mouth, and paralysis of one side of the body. In severe cases, the patient may become comatose or even die. Once diagnosed with cerebral hemorrhage, it is necessary to immediately rush to the nearest hospital for treatment. It is important to ensure the patient rests in bed, keeps their emotions stable, avoids emotional excitement, and maintains regular bowel movements without straining. If cerebral hemorrhage causes increased intracranial pressure, dehydration medications to reduce intracranial pressure can be used. Additionally, medications to protect brain cells should be used. It is crucial to actively control the patient's blood pressure and, when the condition stabilizes, to perform regular rehabilitative exercises to promote the recovery of neurological functions. If the volume of the cerebral hemorrhage is large and threatens the patient's life, neurosurgery may be needed to save the patient's life.

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How to treat cerebral hemorrhage?

The treatment of cerebral hemorrhage is a comprehensive approach. During the acute phase of cerebral hemorrhage, it is necessary to use some dehydrating and intracranial pressure-lowering drugs to alleviate brain cell edema and prevent the formation of brain herniation, reducing damage to brain cells. Additionally, drugs that eliminate free radicals should be used. During the acute phase, hemostatic drugs can also be used appropriately. Moreover, the most common cause of cerebral hemorrhage is hypertension, so the treatment of cerebral hemorrhage primarily involves stable control of blood pressure, as well as drugs that nourish the nerves, promoting the recovery of damaged brain and nerve cells. Other treatments include the prevention and management of complications such as using anti-infective drugs for concurrent pulmonary infections; for associated gastrointestinal stress ulcers and bleeding, drugs that suppress gastric acid secretion and protect the gastric mucosa along with hemostatic drugs are used, followed by active rehabilitation exercises once the condition is stabilized. Thus, the treatment of cerebral hemorrhage is comprehensive and needs to consider multiple aspects. (Please use medication under the guidance of a professional physician, and do not medicate blindly.)