Brain hemorrhage coma with lung infection causing high fever, is there a good solution? Patients in coma with cerebral hemorrhage are often in coma for a relatively long time, normal physiological reflexes such as swallowing and coughing are weakened or disappear, and it is difficult to expel sputum, blood and vomitus, which becomes a risk factor for pulmonary infection. Some scholars reported that lower respiratory tract infections in neurosurgical patients accounted for 63.8% of all infections and became one of the important causes of death in neurosurgical patients. Pulmonary infections become the main cause of high fever. Focusing on the control and prevention of pulmonary infections, we take the following measures: 1. For cerebral hemorrhage deep coma and shallow coma that have not yet formed serious infection, the following comprehensive treatment is used to obtain good results. ①Keep the upper airway unobstructed Use suction to remove blood clots, vomit and foreign bodies from the nose, throat and larynx channels to keep the airway unobstructed, and open the upper airway by lateral position, jaw up method, and oropharyngeal airway use to make the airway obstruction improved. ②Keep the tracheal airway open The suction device reaches the trachea through the nasal and oral cavity via the pharynx, and suctions out the vomit, blood clots, and sputum in the trachea sufficiently to keep the tracheal airway open. In order to make the sputum expelled smoothly, nebulized inhalation is also used, and sputum is sucked out immediately after nebulization. However, due to the aspiration technique and the length of the suction tube, the aspiration is not complete, so repeated suction is required, and it is supplemented with turning and back-knocking to promote the mechanical entry of sputum into the large airway, which is conducive to sputum discharge. ③Keep the alveolar gas exchange unobstructed Patients with neurogenic pulmonary edema occurring in the acute hypercranial pressure period up to 5%~10%, and a large amount of fluid extravasation, so that the alveolar gas exchange is obstructed. The use of sodium hesperidin intravenous drip in order to control or inhibit pulmonary exudation, received a better effect. Sodium hesperidin can prompt the body to increase the plasma concentration of adrenocorticotropic hormone and cortisone, can promote the vascular wall to increase the secretion of PGF2α, can scavenge free radicals, thus playing the role of anti-exudation, increase venous tone, decongestion, anti-inflammatory and improve blood circulation. Our study concluded that it is appropriate to start the application of sodium hesperidin within 24 hours after the onset of the disease, which is conducive to the prevention of intra-alveolar exudation and reduction of pulmonary infection. ④ Enhance body resistance Patients are in a high catabolic and hypermetabolic state in the acute phase. Long-term intravenous drip of energy combination, vitamins, minerals, compound amino acids, intermittent intravenous drip of fatty milk and albumin, as well as the establishment of enteral nutrition to improve the patient’s resistance and immunity, thus reducing the rate of lung infection. This is in line with the TCM theory of “supporting the righteous and eliminating the evil”. ⑤ Anti-infection treatment Selective application of antimicrobial agents according to experience or drug sensitivity test. 2.For those who have been in coma for a long time, have a lot of sputum that cannot be easily aspirated, have a large solid lung lesion or abscess formation on chest X-ray or chest CT, and have an oxygen saturation (SpO2) of less than 90%, tracheotomy is recommended and then combined with comprehensive treatment. Observation of the monitor SpO2 index to determine the presence of hypoxia becomes an important indicator of whether to perform tracheotomy in patients. When the patient’s SpO2 is greater than 95%, regardless of whether there is injury to the nose, mouth and throat, tracheotomy is not considered because the patient is not hypoxic; when the patient’s SpO2 is between 90% and 95%, close observation should be made, and if the SpO2 has a decreasing trend, the SpO2 should be kept above 95% through comprehensive treatment; when the SpO2 is below 90%, the SpO2 cannot be kept above When the SpO2 is below 90%, and the persistent hypoxia is more than half an hour, tracheotomy must be performed. In the observation group, 81 patients with SpO2 lower than 90% were treated by repeatedly clearing the nose, mouth, throat and tracheal tract of sputum, blood and vomit, lying on their sides and using the oropharyngeal airway, and all the hypoxia was corrected within half an hour, and no tracheotomy was performed, with good results. 3, symptomatic treatment of high fever Fever above 39°C must be immediately injected intramuscularly with antipyretic drugs, such as Chai Hu, compound aminopyrine, or sedative lysergic acid. Then supplemented with physical cooling, such as using warm water in the limbs, neck, armpits, thigh bend and other parts of the bath, and ice bottles or ice bags wrapped in towels placed in the neck, armpits, thigh bend area to cool down. The body temperature will drop within 15 minutes.