Which one is easier to recover from cerebral hemorrhage, drainage or conservative treatment, cannot be generalized, and the appropriate treatment plan should be chosen according to the amount and location of bleeding. It is generally believed that conservative treatment is preferred for a small amount of cerebral hemorrhage, and drainage or surgical treatment is preferred when the amount of bleeding is large and the indications are met.
Conservative treatment is preferred when the amount of cerebral hemorrhage is small, because the damage produced by conservative treatment is small, and the recovery of conservative treatment is faster at this time. However, if the volume of cerebral hemorrhage is more than 30 ml, the displacement of the midline of the brain is more than 1 cm, or the patient develops cerebral hernia, if any of the above points are met, it is necessary to consider drainage according to the doctor’s advice, and in serious cases, it is even necessary to open the cranium to remove the hematoma.
The principles of conservative treatment for cerebral hemorrhage include keeping bed rest, avoiding emotional excitement, maintaining water-electrolyte balance, lowering cranial pressure by dehydration, hemostasis, controlling blood pressure, neuroprotective treatment, etc. Commonly used medicines include mannitol, furosemide, aminocyclic acid, aminocaproic acid, and so on. The drugs need to be used under the guidance of a doctor.
Drainage of cerebral hemorrhage is to select the location of drainage through imaging, and inject alteplase within the hematoma site to dissolve the blood clot, in order to achieve the purpose of adequate drainage to reduce intracranial pressure. In addition, direct puncture of the hematoma cavity can also be done by stereotactic drainage.
It is recommended that patients with cerebral hemorrhage should seek medical treatment in time, and the professional doctor should choose the treatment plan according to the actual condition of the patient.