Elderly people who do not wake up from sleep before death should be combined with head CT examination, and adopt appropriate conservative treatment or surgical treatment.
Elderly people who do not wake up before death are actually comatose, and their causes are mostly intracranial hypertension and cerebral edema, which may be caused by cerebral hemorrhage or cerebral infarction.
If intracranial hypertension and cerebral edema are found, these patients should follow the doctor’s instructions to use mannitol, furosemide, human albumin and other dehydration to lower cranial pressure and reduce cerebral edema. The patient’s vital signs can also be stabilized by actively regulating blood pressure, such as using amlodipine, valsartan and other antihypertensive drugs as prescribed by the doctor.
If combined with cerebral hemorrhage, large cerebral infarction or cerebral hernia formation, craniotomy can also be considered to reduce intracranial pressure and release cerebral hernia under the premise of meeting the indications for surgery.
Overall, the condition of these patients is dangerous and the prognosis is not ideal, so it is recommended that patients seek timely medical treatment and active treatment.