Patient: Description (onset, main symptoms, hospital visited, etc.): My mother, 56 years old, started to have headache at around 8:00 pm on June 8, and soon became fuzzy, and was sent to the local hospital at around 8:30 pm for a CT scan, which revealed a brain hemorrhage. He is now suffering from edema and fever of about 38°. He has no more bleeding on CT review, and his left eye pupil is now 2mm and his right eye is 5mm. Now his limbs are not as responsive as they were two days ago, his vital signs are stable, he can breathe on his own, his tracheotomy is open, and his blood pressure is normal. The family is anxious, but there is nothing they can do. The conditions in our area are not very good, and we can’t transfer to another hospital now, so I would like to get your good advice. The patient is a cerebral hemorrhage patient with a large amount of bleeding and a brain herniation (bilateral pupils are not equal in size), and hematoma removal and decompression with debridement have been done. 2.The prognosis of such patients with cerebral hemorrhage is poor and the mortality rate is high. 3. Patients with cerebral hemorrhage have a sudden onset and are in critical condition, often relatives are not psychologically prepared and find it difficult to accept this reality. Clinically, it is a common disease in the elderly, not a difficult disease, but an acute and critical disease. There is no difference in principle in clinical treatment between hospitals at all levels, and the treatment is generally local resuscitation. 4. After cerebral hemorrhage, the brain is irreversibly damaged and injured, and after the hematoma is cleared, there is a period of re-hemorrhage, cerebral edema and multi-organ infection. If there is brain herniation, the prognosis is very poor. Please consult further with your local doctor and I believe you will get a satisfactory answer about your current condition and progress. Patient: Thank you very much for giving such detailed advice in your busy schedule. My mother is currently at the peak of edema, and today is the sixth day after surgery. Thank you very much! Zou Yuanjie, Department of Neurosurgery, Nanjing Brain Hospital: 1. The intracerebral hematoma is cleared and there is no bleeding yet. (The first two should be 6-8 films) 2, at present, mainly cerebral edema and brain damage 3, clinical recovery mainly depends on whether the pupils are equal, how the light response, whether the consciousness is clear, and also to see whether the brain edema period can be spent under treatment. At the same time, other complications should be controlled. I wish to wake up and recover soon! Patient: Dear Director Zou, how are you? My mother currently has a lung infection with 13,000 white blood cells and a temperature that sometimes reaches 39.2°. The day before yesterday the transaminase was over 400 and the doctor adjusted the antibiotics, yesterday the transaminase was 393 and today it dropped a little bit, but the doctor said the temperature won’t come down and the antifungal medication will continue to be used. Since my mother is currently staying in a second-rate hospital, the doctor’s experience may be limited. Can you please advise me on the matters that need attention during treatment, especially how to control my mother’s lung infection? Under what conditions can I be transferred to another hospital? Is it possible to transfer to your hospital? Thank you for your help in your busy schedule, my family is very grateful to you! The whole family is very grateful for your help! The main treatment for your mother’s condition is comprehensive, especially the management of cerebral edema and complications of the liver and lungs and other important organs. 2, there are difficulties to ask the local tertiary hospital ICU experts to consult and guide the treatment.