Because of the rapid onset and progression of cerebral hemorrhage disease, coupled with the non-renewable nature of nerve cells, patients will always have more or less limb dysfunction despite active treatment. And now there are more and more views that early how to let the patient get enough nutritional support is a key factor affecting the prognosis. He can not only improve the patient’s immunity, reduce pulmonary infections, urinary tract infections and other complications, but also to a certain extent can improve the patient’s awakening rate. For neurosurgical patients with serious illness, many people will be accompanied by impaired consciousness, and swallowing function will be affected, this time have to be injected through the gastric tube nasal feeding to food, some people often say, I give the patient every day is turtle soup, chicken soup, ginseng, milk and so on, the patient should be nutrition will not be bad. If you think so, it is a big mistake, just imagine, if you eat a day to the patient to send a few meals of liquid food, you eat a week to try to eat, can you eat enough? Not to mention that for a critically ill patient, the body needs nutritional support to recover and fight infection. Others will say, even if you can’t eat enough, the doctor said to give intravenous nutrition ah? In fact, this point of view is also wrong, why do people have a digestive system, that is, in order for us to use the mouth to eat long-term evolution, only through the digestive tract to eat is the closest to the physiological needs. And intravenous nutrition will not only increase the heart load, but also lead to insufficient supply of nutrients, but also lead to the intestinal bacteria run the various parts of the body, if this bacteria run into the bloodstream, it will be a problem, commonly known as bacteremia, can cause sepsis or even death in severe cases. So, I must once again strongly point out the importance of enteral nutrition. So, how do we prepare the diet for our patients? First of all, when to give enteral nutrition? How much is appropriate to give? At present, both domestic and foreign countries recommend that enteral nutrition support be given within 24–48 hours, so the question arises again, how much is appropriate to give? First of all, we have to calculate the patient’s approximate weight (Kg), and then follow the formula according to 25–30kcal/Kg/d. If a person is 50kg, then he should be given enteral nutrition within 24–48 hours. If a person is 50kg, then the energy he needs in a day is between 1250kcal-1500kcal. Because the implementation of enteral nutrition not only protects the functioning of our intestines, but also provides energy for the recovery of the patient more also. Many people have questions again, you say this energy although I can calculate, in the end I should give the patient to prepare what to eat? Now due to the importance of enteral nutrition, there are many enteral nutrition preparations on the market, a bottle of 500ml or so, just a bottle of energy for 500kcal, usually feed 3 bottles a day is enough. So if you feed enteral nutrition, do you still need to feed other things? I can tell you very clearly that it is not necessary. So won’t the patient be deficient in other elements? The current enteral nutrition preparations cover the basic needs of the basic substances, but also add immune-boosting agents. This is not only an energy guarantee over three meals a day made at home, but it is also convenient. Is enteral nutrition really that good? We have a patient in our department who has been living there for 3 years, and now the family is buying their own enteral nutrition preparations in boxes, 3 bottles a day, and the patient is now even fatter and has fewer complications. Now some patients often have low protein, often have to buy albumin, albumin and expensive, a bottle of albumin can buy at least 8 bottles of enteral nutrition, and the patient can not hold out for a few days, the albumin is low again, and this time what the lung infection, pleural effusion, urinary tract infections are coming. Therefore, I emphasize again, enteral nutrition is very important, so important that you must pay attention to the time. However, enteral nutrition use up is not everyone can tolerate, everyone can be well absorbed, if the patient diabetes enteral nutrition can give? In fact, enteral nutrition use process, for patients in the early stages of the most likely to cause digestive symptoms, such as diarrhea, constipation, vomiting, malabsorption and other symptoms. At this time we have to master the feeding method, the first day to feed half a bottle, the second day to feed 1 bottle, the third day to feed 2 bottles, to pay attention to the gradual transition. In addition, all enteral nutrition must be heated to about 37 ℃, this temperature is basically close to our body temperature, tolerance should be the best. For diabetic patients, the choice of enteral nutrition is also very necessary, because there are also enteral nutrition on the market specifically for diabetes. For patients who always vomit and those who are estimated to be in long-term coma and need to stay in a gastric tube for more than 1 month, it is recommended to routinely jejunostomy tube, because the jejunum is deep, not easy to vomit, and also utilize the absorption. In conclusion, it is important to find ways to keep the patient’s energy up to par.