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手术治疗高血压性脑出血是降低颅内压控制高血压最好的方法,采用多种手术方法清除颅内血肿,脑室外引流或腰大池引流清除脑室内或蛛网膜下腔出血。术后保持安定,密切监测血压、颅压、体温变化;术后常规置胃管;根据颅内压的高低调节甘露醇、速尿的用量;保持呼吸道通畅;手术后病人饮食,一般先给流食、半流食、普食;手术后高热要查明原因,合理应用抗菌素;疑有颅内感染者,应行细菌培养和药物敏感试验,以利选择敏感药物进行治疗。
Surgical treatment of hypertensive intracerebral hemorrhage is to reduce intracranial pressure to control the best way to control high blood pressure, using a variety of surgical methods to remove intracranial hematoma, cerebral ventricle drainage or drainage of the brain drainage of intraventricular or subarachnoid hemorrhage. After surgery to maintain stability, close monitoring of blood pressure, intracranial pressure, body temperature changes; postoperative routine placement of gastric tube; according to the level of intracranial pressure to adjust the amount of mannitol, furosemide; to maintain airway patency; postoperative patient diet, , Semi-liquid food, general diet; high fever to find the cause after surgery, rational use of antibiotics; suspected intracranial infection, bacterial culture and drug susceptibility testing should be conducted to facilitate the selection of sensitive drugs for treatment.