Brain stem hemorrhage is still coma for seven days, family members should do a good job of daily care of the patient, and follow the doctor’s instructions to give the patient medication, according to the actual situation of the patient to choose whether to carry out surgical treatment. 1. Daily care: brain stem hemorrhage is a more serious clinical cerebrovascular disease, if the patient is in coma due to this disease and still not awake for seven days, family members need to do a good job of the patient’s daily care. During the coma period, the patient should continue to receive oxygen to maintain blood oxygen concentration. Secondly, the feeding method should be changed to nasal feeding, and the family members should take the less irritating and light food as the main ingredient, and help the patient to eat through the transgastric tube after grinding it into paste. 2. Medication: If the intracranial pressure rises during coma, family members should give the patient mannitol, glycerol fructose and other drugs for intracranial pressure reduction under the guidance of doctors. If the patient continues to have brain stem hemorrhage, hemostatic drugs such as vitamin K1 and ichthyoglobin should be used to stop bleeding. At the same time, if the patient has hypertension, it is also necessary to give the patient propranolol and other antihypertensive drugs. 3. Surgical treatment: at present, the common surgical methods used in clinical treatment of brainstem hemorrhage are endoscopic hematoma removal and ventricular drainage, etc. However, due to the high risk and difficulty of the surgery, and the patient is in a coma and in poor physical condition, so the family needs to communicate with the doctor to see if the surgery is possible. To sum up, the patient is still in coma after seven days of brainstem hemorrhage, his family members need to actively do a good job in patient care, and then customize the appropriate treatment plan according to the actual situation of the patient under the guidance of the doctor.