What to do if your baby has intracranial hemorrhage

Intracranial hemorrhage in babies is a very frequent occurrence. Pregnancy for ten months is supposed to be a very happy thing. However, facing such great pressure, we know that the baby's brain will bleed. Then the happy mood will suddenly turn into unhappiness. After the child has intracranial hemorrhage, the physical condition will become weak. Such a disease is easy to occur in premature babies. So what should we do with intracranial hemorrhage in babies?

The main causes of neonatal intracranial hemorrhage (NICH) are birth trauma and hypoxia. The former is gradually decreasing, while the latter is increasing. Among them, 40% to 50% are premature infants with a gestational age of <34 weeks and a birth weight of <1500g.

The treatment methods are as follows: 1. General treatment should be bed rest, keep quiet and reduce movement. If the child needs to be moved due to special circumstances (emergency examination and surgical treatment, etc.), the head should be kept fixed. Comatose children should be placed in a lateral position to keep their airways open. When the fever is high, the patient should be cooled down promptly. If you have a headache or are irritable, you can give you appropriate sedatives. Pay attention to maintaining water, electrolyte, acid and base balance and adequate heat supply.

For neonates with periventricular and intraventricular hemorrhage, attention should be paid to correcting hypotension and raising blood pressure to an appropriate level. 2. Etiological treatment: Give appropriate treatment according to different causes. For example, for those suffering from thrombocytopenia, platelets or fresh blood should be transfused in time; for hemophilia, factor VIII or IX should be transfused; for hypocoagulation caused by disseminated intravascular coagulation due to infection, effective antibiotics and antifibrinolytic drugs should be used; for vitamin K deficiency, vitamin K and coagulation factor complex or fresh blood should be transfused. 3. Symptomatic treatment should be promptly addressed for severe symptoms, such as active anticonvulsant treatment and control of cerebral edema, intracranial hypertension, etc. Commonly used anticonvulsants include clonazepam, chloral hydrate, phenobarbital and phenytoin sodium. Adrenal cortex hormones are often used to treat cerebral edema. Patients with intracranial hypertension can receive intravenous injections of dehydrating agents or diuretics. 4. Lumbar puncture and repeated lumbar puncture to release cerebrospinal fluid are suitable for periventricular and intraventricular hemorrhage in newborns and subarachnoid hemorrhage in children, which can reduce the occurrence of hydrocephalus. However, if the child has severe headache, frequent vomiting, or extreme irritability, or even shows early signs of brain herniation, lumbar puncture should be avoided to avoid inducing brain herniation.

Intracranial hemorrhage refers to bleeding caused by rupture of blood vessels in the brain. Brain cells that receive blood from the blood vessels are damaged, and the bleeding compresses the surrounding nerve tissue, causing disorders. Intracranial hemorrhage often occurs in combination with hyperthermia. This symptom increases the brain's oxygen consumption, leading to insufficient oxygen supply to the brain.

Coma, unstable heartbeat, blood pressure, and breathing

The vital centers of human heartbeat, breathing, blood pressure, pulse, etc. are all in the brainstem. Brainstem hemorrhage will compress the vital centers.

Different bleeding points may affect symptoms such as nausea, vomiting, and diarrhea depending on the situation, among which vomiting is the most serious.

If the bleeding spot is not large, observe for 48 hours first, and do a CT scan in time, or do a lumbar puncture to check whether there are red blood cells in the cerebrospinal fluid to confirm the absorption of the bleeding.

Patients with craniocerebral injury have to go through several dangerous periods after the injury, such as early bleeding, cerebral edema, brain herniation, cerebral vasospasm, intracranial infection and complications of long-term bed rest. These dangerous periods are like our patients passing through checkpoints, and everyone is worried about passing each checkpoint. All of these are pathological processes in the development of the disease and cannot be skipped. Sometimes the patient's individual constitution may lead to different manifestations in these stages. The time it takes to wake up and escape from danger depends on the patient's condition. I believe the doctor should have explained this to you. The sequelae also depend on the extent of the injury and the subsequent recovery. We should strive to reduce the incidence of sequelae to the lowest possible level.

If the baby has intracranial hemorrhage, it is necessary to use drugs to control it in time. If the bleeding is too much, edema is likely to occur, and the mortality rate of premature babies is also increased. The consequences of this are very serious. After it happens, the amount of bleeding must be controlled. If the amount of bleeding is large, the impact will be greater. If the child's bleeding is not controlled within seven days, then surgical treatment must be performed.