The treatment of left ventricular compression with hematoma centered on the left external capsule includes general treatment, drug treatment, surgical treatment and rehabilitation treatment, etc., which should be formulated in accordance with the specific condition of the patient.
1. General treatment: absolute bed rest, keep quiet, avoid emotional excitement and exertion; closely monitor the vital signs such as blood pressure, heart rate, respiration, etc., and closely observe the changes of the condition; fasting is needed when there are consciousness disorder and gastrointestinal bleeding.
2. Drug therapy: under the premise of ensuring cerebral perfusion, antihypertensive drugs such as uradil and nimodipine can be used to control blood pressure; if accompanied by high cranial pressure or heavier pressure patients, drugs such as mannitol and other drugs for lowering cranial pressure can be given; in addition to obvious agitation of the patient, diazepam and other sedative drugs can be given. It should be noted that the drugs should be used under the guidance of the doctor.
3. Surgery: If the bleeding volume is higher than 30ml or combined with cerebrovascular malformation, aneurysm and other vascular lesions, surgery can be considered; if combined with severe cerebral edema, or the tendency of brain hernia such as midline shift, can be considered to perform decompression surgery with debridement flap.
4. Rehabilitation therapy: After the condition is stabilized, rehabilitation therapy can be started gradually, such as upper and lower limb motor function training, hyperbaric oxygen therapy, etc. The specific rehabilitation therapy program should be formulated in combination with the patient’s symptoms.
Cerebral hemorrhage is an acute and critical disease, it is recommended to consult a doctor as soon as possible to assess the condition and formulate a reasonable treatment plan, so as to avoid delaying the condition.