(Disclaimer: This article is only for popular science purposes, in order to protect the privacy of patients, the relevant information in the following content has been processed) Abstract: 50-year-old patient, Grandma Liu, had an occasional headache, nausea, vomiting and other undesirable phenomena 2 months ago, thinking that it was due to a cold or a recent over-exertion, and therefore did not pay attention to it. However, the patient’s recent discomfort became more intense, the presence of distortion of the mouth and eyes, memory loss, etc., came to the clinic has appeared blurred consciousness, was diagnosed as cerebral hemorrhage due to rupture of cerebral arteriovenous fistula, after active surgical treatment and medication, the patient’s bleeding in time to be controlled, the adverse symptoms disappeared, and was discharged from the hospital successfully. Basic information] Female, 50 years old [Type of disease] Cerebral arteriovenous fistula [Hospital] The First Affiliated Hospital of Zhengzhou University [Date of consultation] January 2020 [Treatment plan] Medication (Warfarin sodium tablets, Mannitol injection) + Surgery (cerebral hemorrhage puncture and drainage) [Treatment cycle] In-hospital treatment for 20 days, regular review after discharge [Treatment effect] Disease is under good control, headache, Headache, distorted eyes and mouth, vomiting, nausea and other adverse symptoms disappeared. I. Initial Consultation The patient, Grandma Liu, was 50 years old, and her consciousness was already a little blurred at the time of the initial consultation, with most of the recent abnormalities described by her family members. Family members said that the patient had a headache, nausea, vomiting and other symptoms 2 months ago, but at that time did not think much about it, and only thought it was due to colds, overwork and other factors, and did not take medication, and there was a period of time in the middle of it, but it also improved. However, in the past week, the patient suddenly found that he had memory loss with tilted eyes and mouth, and his headache, nausea, vomiting and other symptoms became more serious, so he came to our hospital. We measured the patient’s blood pressure and found that the patient’s blood pressure was 129/80mmHg. After inquiry, we learned that the patient had a history of hypertension for more than 20 years, and he took medication on time and had stable blood pressure control. A CT scan of the patient’s head showed hemorrhage in the brain. The patient was diagnosed with cerebral hemorrhage caused by rupture of cerebral arteriovenous fistula. Because the patient was old and had a history of hypertension, after diagnosing cerebral hemorrhage caused by rupture of cerebral arteriovenous fistula, I discussed the patient’s condition with several neurologists in order to study the individualized treatment plan suitable for the patient and to reduce the damage of the disease to himself. After the discussion, we decided to perform a puncture and drainage for cerebral hemorrhage in this patient. After determining the treatment plan, I actively communicated with the family to make it clear that the treatment should be performed as soon as possible, and the family expressed their understanding and signed the informed consent for the surgery. Under general anesthesia, we performed cerebral hemorrhage puncture and drainage, the operation went smoothly, and the patient returned to the ward safely after he gradually came to his senses. After that, we prescribed hemostatic drugs for the patient, and gave mannitol injection to reduce intracranial pressure and warfarin sodium tablets to prevent thrombosis to improve the condition. Third, treatment effect On the day after surgery, the patient’s consciousness gradually returned, and the indicators in cardiac monitoring were more stable. On the 3rd postoperative day, the drainage fluid was relatively smooth, the pain at the incision site was not very obvious, and the adverse symptoms such as headache, slurring of the mouth and eyes, vomiting, nausea, etc. were also reduced. On the 15th day after surgery, the incision dressing was dry without exudate, and there was no inflammatory reaction such as redness, swelling, fever and pain in the surrounding skin. On the 20th day after the operation, the patient’s indexes were close to normal, headache, distorted eyes and mouth, vomiting, nausea and other adverse symptoms disappeared, and the patient could be discharged from the hospital normally. Precautions Seeing that the patient’s body recovered and was discharged from the hospital happily, we, as medical workers, also felt very happy in our hearts. However, there are still some precautions that need to be instructed to patients and their families, mainly including the following points: 1, patients should try to avoid eating hot pot, spicy hot pot and other stimulating food after returning home, and not to drink alcohol, to prevent the condition or wound stimulation, daily should choose pork, fish, eggs, cucumbers, strawberries, and other light, highly nutritious diet; 2, the patient’s daily life should be to maintain a stable mood, avoid emotional excitement, and should pay attention to regular monitoring of the patient’s health, and should also avoid the use of the patient’s body. 2. Patients should keep their emotions stable in daily life and try to avoid emotional excitement, at the same time, they should pay attention to regular monitoring of blood pressure and timely application of medicines for treating hypertension, so as to avoid elevation of blood pressure; 3. After patients are discharged from the hospital, before the disease is completely cured, they should take the prescribed medicines on time and according to the dosage, follow the doctors’ instructions, do not stop taking the medicines on their own or increase or decrease the dosage of the medicines, and go to the hospital on time to recheck the recovery of the disease. Five, personal perception cerebral arteriovenous fistula rupture caused by cerebral hemorrhage, mostly in the middle-aged and elderly people, the treatment is often based on drugs, surgery, clinical, most of the symptoms of this disease and the patient’s performance of this article is similar to the situation is not typical, most of them believe that it is due to factors such as fatigue, cold and other factors, which makes the disease progression, and also bring more serious discomfort to their own symptoms. It can be seen that when the middle-aged and elderly people headache, dizziness, nausea, etc., can not turn a blind eye, should be timely consultation to clarify the specific causes of the disease, to prevent delays in the condition and lead to the progression of the disease, for the subsequent treatment and rehabilitation to bring a more serious impact.