Can a patient with smoker’s disease who has symptoms of brain hemorrhage have surgery immediately? The answer is no. The most important thing we should do after a patient has a brain hemorrhage is to treat the brain hemorrhage symptom, not to have a smog surgery. You can wait three months after the hemorrhage before having the surgery. Symptoms of smoldering disease The symptoms of smoldering disease are mainly divided into cerebral ischemia and cerebral hemorrhage. Among them, cerebral ischemia caused by narrowing of blood vessels can cause (headache, dizziness, lack of concentration). In more severe cases, it may cause (numbness of limbs and weakness of limbs). If more severe, it may cause (hemiparesis and aphasia, etc.). Brain hemorrhage caused by excessive dilatation of blood vessels may cause (sudden severe headache with nausea and vomiting) and other symptoms. The main cause of death from smog is also due to cerebral hemorrhage. Also smog can lead to cerebral infarction, which may lead to (visual field defects, aphasia, etc.) That is to say, if you have the above symptoms, the possibility of having smog cannot be ruled out. Therefore, it is important to treat smog early. Do not start to realize the seriousness of the disease only when symptoms appear. Generally speaking, most of the medications used in the treatment of smog are vasodilators, antiplatelet drugs and anticoagulants, which have some clinical efficacy, but their effectiveness has not been confirmed by clinical trials. For patients with ischemic symptoms, drugs such as aspirin or Bolivar can be considered, and for patients with epilepsy, antiepileptic drugs can be used. However, there are no effective drugs that can reduce the bleeding rate in patients with smog. That is why surgery is the best option for treating smog. The surgical treatment of smog is divided into direct bypass surgery, indirect bypass surgery and combined vascular bypass surgery. Direct bypass surgery is to re-establish new blood flow channels to ensure adequate cerebral blood flow, and to rapidly improve the cerebral blood supply by directly bypassing the intracranial and extracranial vessels to anastomose. Indirect bypass surgery involves attaching muscle and meningeal tissues, which are rich in extracranial blood supply, to the surface of the brain inside the skull, so it is also called patching surgery. The brain automatically draws blood vessels from these tissues to form spontaneous anastomoses with the cortical vessels. The blood supply to the brain is reconstructed through extracranial blood flow to the intracranial area to relieve the inadequate supply of blood to the intracerebral arteries, and to improve the intracerebral blood flow by establishing a pathway for blood supply from normal vessels outside the brain to the intracerebral area. After the blood supply to the brain is improved, the demand for smoke-like vessels will gradually decrease, thus reducing the patient’s risk of reoccurring cerebral ischemia and cerebral hemorrhage and improving the patient’s prognosis. Combined vascular bypass surgery is based on the advantages and disadvantages of the two traditional procedures, bypass + patching in one surgery, based on the bypass and multi-factor patching, the establishment of multiple blood flow pathways, can provide rich blood for the patient’s brain tissue, which can have the advantages of the patching surgery (larger blood supply to the brain) and give the time needed for the growth of new blood vessels (by the direct bypass vessels to maintain normal blood supply). This avoids the development of a stroke before the neovascularization occurs. This is superior to direct bypass and indirect bypass alone. It is clear that the best surgical treatment for smog is a combined bypass procedure that takes the best of both worlds. The surgery has a higher cure rate and less risk. Patients are advised to learn more and communicate with their doctors when choosing the surgery. A skilled physician will be better able to manipulate the direction of the surgery and avoid unnecessary surgical risks.