Hypertensive patients with cerebral infarction followed by massive cerebral hemorrhage can be treated with general therapy, drug therapy, surgical therapy and rehabilitation therapy.
1. General treatment: mainly to monitor the vital signs, carry out some neurological assessment, as well as continuous cardiac monitoring, blood pressure monitoring, oxygen saturation monitoring, etc.; turn over and pat the back diligently to prevent decubitus ulcers and lung infections.
2. Drug treatment: medication can be given to stop bleeding treatment, such as the use of warfarin caused by cerebral hemorrhage, can be given to vitamin K antagonism therapy. Mannitol dehydration treatment, brain protein hydrolyzate and other drugs to improve brain metabolism treatment, nifedipine and other antihypertensive drugs to control blood pressure.
3. Surgery: Depending on the amount and location of bleeding, craniotomy or minimally invasive surgery can be performed under the evaluation of the surgeon to remove the hematoma from the brain tissue.
4. Rehabilitation therapy: After the condition is stabilized, rehabilitation therapy for limb function and speech function can be carried out.
Hypertensive patients with cerebral infarction followed by massive cerebral hemorrhage are in critical condition and are advised to seek timely medical treatment.