How to treat arachnoid hemorrhage

1. General management The general management of acute subarachnoid hemorrhage is the same as for hypertensive intracerebral hemorrhage. Absolute bed rest should be emphasized for 4-6 weeks, and all factors that may increase the patient's blood pressure and intracranial pressure should be avoided as much as possible. Sufficient and effective painkillers and sedatives should be used for headache and restlessness to keep the patient at rest.

2. Hemostatic treatment To stop continued bleeding and prevent rebleeding, it is generally advocated to use high-dose hemostatic drugs in the acute phase. A blood clot forms after subarachnoid hemorrhage, which can cause rebleeding due to self-quenching due to the action of enzymes. Therefore, early rebleeding can be avoided by applying antifibrinolytics to prevent clot dissolution.

3. To reduce intracranial pressure, drugs such as 20 percent mannitol can be used in the same way as hypertensive intracerebral hemorrhage.

4. The value of other lumbar puncture as an examination method for diagnosing this disease is recognized, but as a treatment method, the current view is not completely consistent. Lumbar puncture to release a small amount of cerebrospinal fluid 5-10ml can relieve headache and reduce the symptoms of meningeal irritation caused by bleeding. Effect. It is also believed that lumbar puncture to release cerebrospinal fluid can prevent obstructive hydrocephalus caused by cerebral aqueduct adhesion after hemorrhage. But there is a risk of causing changes in cerebrospinal passive dynamics and inducing brain cancer. Therefore, care should be taken when applying this method to prevent the occurrence of brain cancer.

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