If the prognosis of cerebral hemorrhage is not good in conservative treatment, it is usually treated by surgery, but it should be judged according to the actual condition, and the specific surgical methods are as follows:
1. Craniotomy hematoma removing operation: to remove intracranial hematoma and minimize the compression on brain tissue, so as to reduce the mortality rate and improve the functional prognosis, which is a common surgical method in neurosurgery.
2. Debridement decompression surgery: it can reduce the intracranial pressure and avoid causing brain hernia, usually when other surgical methods are not feasible, half craniectomy will be taken as the last resort.
3. Ventricular drain: ventricular intubation can drain blood and cerebrospinal fluid from the ventricles of the brain, and thrombolytic drugs can be used at the same time to be injected into the hematoma site to speed up the drainage speed.
4. Special type of cerebral hemorrhage: if the hemorrhage is caused by aneurysm rupture, in addition to the conventional treatment, interventional embolization surgery or aneurysm craniotomy and clamping surgery should be carried out.
If the effect of conservative treatment is not good, cerebral hemorrhage can be selected according to the actual condition of the patient, and choose feasible solutions for active treatment.