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Spider Network (wǎng)Dietary contraindications for patients with submerged hemorrhage
Spider Network (wǎng)Patients with submembranous hemorrhage ,If the patient is awake, (yīng)Patients eat less and eat more ,Eat more light and low fat 、Foods that are high in protein and vitamin-rich ,Patients' eating action (yīng)Slowly, raise the bed ,Head to one side (c And)To prevent coughing, and inform the unconscious patients about their families ,When the patient eats by indwelling the nasal tube, he starts to have a light nasal flow (zh the)Diet ,Eat five to six times a day, 200 ml each time ,After two days, you can enter chicken soup, fish soup, etc. 。
1、It is recommended to eat half-flow (zh the)Even the quality (zh the)food ,Appropriately increase the fiber content to ensure patients have smooth bowel movements 。If you eat fine food ,Easy to (dǎo)Reduced creep ,Causes dry stool (ji And)Even constipation 。Defecation can be carried out with force (dǎo)To Spider Network (wǎng)Submembraneal hemorrhage relapse (fā)。It is recommended to drink more water and treat water. (dǎo)Causes too much water loss ,If you don't have time to refill, you can (dǎo)To (n Andi)可 (hu ton)Confused situation 。
2、Avoid smoke ,It is not allowed to eat too cold 、Cold ,Or spicy and irritating foods; 。Eat as little as possible or avoid fatty, sweet and thick foods, avoid eating too oily or salty foods, etc. ,It is recommended to focus on light diets; 。Eat more fresh vegetables ,Patients without diabetes should eat more fruits or high-fiber foods, etc.; 4 、Eating more can protect the patient's stomach and kidney function ,
Spider Network (wǎng)Examination of submembranous hemorrhage
Surprise (fā)Severe headache 、Accompanied with vomiting 、Straight 、With or without the confusion of consciousness 、Reaction (yīng)When the slurry is waiting for these slurries, (yīng)Highly alert to spider network (wǎng)The disease of submembranous hemorrhage (fā)born ,You can confirm by following the following inspection methods 。
1、CT Check: Spider Network (wǎng)The first choice for submembraneal hemorrhage CT Check to see the brain or brain pool (n Andi)White high-density shadow is bleeding blood ,Head CT In the acute phase 1 Zhou Nei (n Andi)Higher syrup ,With time shift ,大发 (n Andi)Blood gradually absorbs ,Head CT The syrological rate decreases;
2、Lumbar puncture examination: if the head is too small CT NI ,But the clinical suspicion of spider network (wǎng)Submembranous hemorrhage can be performed by lumbar puncture and examination to show that the brain and spinal fluid is evenly hemorrhagic;
3、Head MRI(Magnetic resonance ):It is also the main aided diagnosis technology for diagnosis (shù),Can help determine the location of bleeding 、How many, in the acute phase and CT The accuracy of the inspection is quite accurate ,The effect of diagnosis in non-acute phase (yōu)At CT, It plays a very important role in judging the cause of bleeding ,And it has no radiation, suitable for inspection of pregnant women 。But because of many doctors (yī)The hospital has not started emergency diagnosis and magnetic resonance ,Long inspection time, poor patient cooperation, etc. ,The role of magnetic resonance in diagnosis is limited.
4、Angiography (DSA):Angiography is a spider network (wǎng)Causes of submembraneal hemorrhage ,Clinic (n Andi)The "golden standard" of tumors 。
Spider Network (wǎng)Introduction to submembraneal hemorrhage
Spider Network (wǎng)Submembraneal hemorrhage is not a disease but a clinical manifestation of a disease (xi ton),It is caused by a number of reasons that suddenly rupture of the brain blood vessels, causing the blood to enter the area. (n Andi)Or spinal canal (n Andi)Spider Network (wǎng)Comprehensive symptoms caused by submembrane cavity 。Belongs to the nerves (jīng)One of the emergency and critical surgeries in surgical treatment 。The area with general brain bleeding (qū)Not to mention bleeding scattered on the surface of the brain ,Not in the brain tissue (n Andi)。
Spider Network (wǎng)Submembraneal hemorrhage can be divided into three large types:
1、Non-invasive spider network (wǎng)Submembraneal hemorrhage: non-external arachnoid (wǎng)Submembrane hemorrhage includes primary (fā)Sex spider network (wǎng)Submembraneal hemorrhage and recurrent (fā)Sex spider network (wǎng)Submembraneal hemorrhage, primary (fā)Sex spider network (wǎng)Submembraneal hemorrhage refers to the rupture of blood vessels on the bottom or surface of the brain and flowing directly into the arachnoid (wǎng)Submembrane cavity 。Continue (fā)Sex spider network (wǎng)Submembraneal bleeding usually refers to the brain's quality (zh the)Bleeding, bleeding in the brain 、Subdural or epidural blood vessels rupture into the arachnoid (wǎng)Submembrane cavity.
2、Extra-harm spider website (wǎng)Submembraneal hemorrhage: Injury Arachnoid (wǎng)Submembraneal bleeding refers to an external brain injury or nerve (jīng)Surgery (shù)Later bleeding flows into the spider network (wǎng)Submembrane cavity;
3、Unexplained spider network (wǎng)Submembraneal hemorrhage: about 10% is an unknown arachnoid (wǎng)Submembraneal hemorrhage 。
Spider Network (wǎng)The most common clinical symptoms of submembranous bleeding are severe headaches and brain irritation. 、Different degrees of consciousness disorders, even mental and neurotic (jīng)Functional dysfunction 。
Spider Network (wǎng)How to treat submerged hemorrhage?
Spider Network (wǎng)Submembraneal hemorrhage is more common in clinical practice ,85% of the patients are due to (n Andi)Caused by tumors ,If checked CT Confirm as a spider network (wǎng)Submembraneal hemorrhage must be based on (jù)Correspondence of causes (yīng)handle 。
First, general treatment and treatment ,Need a supervision (jiān)Test vital signs and neurologies (jīng)System (tǒng)Changes in physical signs ,Keep the airway open ,Maintain breathing 、Repeat (hu ton)Stable (wěn)Certainly ,Stay calming bed to avoid excitement and force ,Keep your bowel movements smooth.
Next, adopt (n Andi)Use hydration methods to reduce the amount in scientific treatment (n Andi)Pressure 、Methods to vent blood vessels to reduce blood vessel dysfunction and other substances (n Andi)The clinical method of assisted treatment is stable (wěn)Determine the condition.
Finally, the cause of bleeding is determined by brain angiography ,If it's a slight (n Andi)Caused by tumors ,Can I use interventional embolism or vascular bridges? qū)ζPu M Processing ,Because the tumor ruptures once, it will not be treated ,When appear (xi ton)During the second bleeding ,It will greatly increase the patient's mortality probability ,So once (fā)Do as soon as possible 。If it is caused by external injuries, you can do various treatments such as lumbar puncture and drainage. ,Or use medicine to treat 。Spider network caused by external injuries (wǎng)Submembranous hemorrhage is often accompanied by contusions in the brain ,so ,If there is external injury, it causes spider network (wǎng)Submembraneal hemorrhage ,Also be careful if there are any other brain injuries 。
The above is the Spider Network (wǎng)Treatment of submembraneal hemorrhage ,Also, you need to pay attention to preventing the development of brain water (fā)You can pass (n Andi)Scientific medicine inhibits spinal fluid secretion ,If (n Andi)Ineffective treatment can be performed for spinal fluid shunt (shù)。
Spider Network (wǎng)Causes of submembraneal hemorrhage
Spider Network (wǎng)Common causes of submembranous bleeding can be divided into two categories
Extra-harm spider website (wǎng)Submembraneal hemorrhage
Spider net with external injuries (wǎng)Submembraneal hemorrhage is caused by external injuries in the head ,Can be passed through the head CT Do a direct diagnosis ,In addition, this type of patients may have dermatosis and kidney ,No surgery is required (shù),Need to be calm (yǎng),Usually within 1-2 weeks (n Andi)The bleeding can be absorbed by itself.
Self-developed (fā)Sex spider network (wǎng)Submembraneal hemorrhage
1、大发 (n Andi)Tumor ,This disease starts urgently 、The pain in the head is severe, and some patients may appear (xi ton)Idea hindrance ,Even coma can be performed by angiography and CTA Make sure ,Very good (fā)At the age of 40-60.
2、Smoke disease, both sides (c And)The head (n Andi)Spinning siphon and front of the brain 、The starting part of the middle twitch is severely narrow or closed ,Bottom Brain Mask 、Small vascular hyperplasia such as penetration and ventricular hyperplasia form abnormal vascular network (wǎng)Chronic brain vascular closure disease characterized by (fā)Emergency ,Head MRA It indicates abnormal blood vessels, and the abnormal smoke state can be seen. ,Commonly seen in children and teenagers.
3、Brain static deformity ,Multiple (fā)Born in the world (n Andi),There are often swelling (fā)History of treatment and headache ,head CT Strengthen inspection or MRI Vertical malformation can be seen after examination ,Brain angiography can be diagnosed clearly.And understand the size of the vascular malformation group 、Area, blood supply dysfunction 、Drainage static and blood flow velocity are commonly seen in patients over 35 years old 。
4、Angiographic angiogenesis spider network (wǎng)Submembraneal hemorrhage: about 7%-30% arachnoids (wǎng)Submembrane hemorrhage brain angiography without abnormal manifestations (xi ton),The reasons may be: (1)Not released (fā)Now (xi ton)The tumor of ,Production (chǎn)Causes include tumor damage or self-development after vascular dysfunction and bleeding (fā)Thrombosis ,Necklace or contrast technology (shù)Not good 、There are errors in the reading film; (2)Non-tumor spider network (wǎng)Submembrane hemorrhage includes anonymity AVM、 Hemangioma of squid 、Hypertensive dysfunction and vascular starch change 、Blood diseases, immune diseases, etc. 。(3)Spider Network around the middle brain (wǎng)Submembraneal hemorrhage ,Some of the above patients need further examination 。
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